Individual
VICKY COPPOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5401 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46254-1612
(317) 387-2589
Mailing address
5401 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46254-1612
(317) 387-2589
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1220783
IN
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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