Individual
DR. ERIC ALLEN COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2702 CUNNINGHAM AVE STE A, JOPLIN, MO 64804-1593
(417) 782-1910
(417) 782-1844
Mailing address
2702 CUNNINGHAM AVE STE A, JOPLIN, MO 64804-1593
(417) 782-1910
(417) 782-1844
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2011028411
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528349792
—
MO
05
—
201087640A
—
KS
Enumeration date
09/01/2011
Last updated
05/15/2015
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