Individual
DR. NANCY JEAN COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
359 S MOUNTAIN BLVD, STE C-2, MOUNTAINTOP, PA 18707-1984
(570) 403-5080
(570) 403-5079
Mailing address
359 S MOUNTAIN BLVD, STE C-2, MOUNTAINTOP, PA 18707-1984
(570) 403-5080
(570) 403-5079
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS008628L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2104527
CIGNA
—
01
—
C0761126
BLUE CROSS SHIELD
PA
Enumeration date
05/27/2006
Last updated
12/06/2011
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