Individual
DR. DIANE ELINS COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1580 N NORTHWEST HWY, SUITE 125, PARK RIDGE, IL 60068-1444
(847) 759-9110
(847) 759-9440
Mailing address
1580 N NORTHWEST HWY, SUITE 125, PARK RIDGE, IL 60068-1444
(847) 759-9110
(847) 759-9440
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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