Individual
MELISSA COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4161 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-9204
(941) 235-2710
Mailing address
9 CHAD MICHAEL CT, BLACKSTONE, MA 01504-1238
(774) 287-8141
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10001266
MA
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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