Individual
DR. TERRY FRED COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6912 220TH ST SW, SUITE 113, MOUNTLAKE TERRACE, WA 98043-2169
(425) 361-7670
(425) 967-5572
Mailing address
1020 5TH AVE S, APT 10, EDMONDS, WA 98020-4039
(425) 361-7670
(425) 967-5572
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
600 559 777
WA
103TC1900X
Counseling Psychologist
Primary
PY00000801
WA
Other
Enumeration date
07/26/2006
Last updated
03/06/2018
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