Individual
GARY D COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
126 IRON HORSE TRL, HARVEST, AL 35749-8130
(256) 508-1125
Mailing address
126 IRON HORSE TRL, HARVEST, AL 35749-8130
(256) 508-1125
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1826
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529917620
—
AL
Enumeration date
07/18/2006
Last updated
03/31/2017
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