Individual
REBECCA LEA COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC/SLP
Contact information
Practice address
556 PENNINGTON LN, GRAYSON, KY 41143-8529
(606) 475-9425
Mailing address
556 PENNINGTON LN, GRAYSON, KY 41143-8529
(606) 475-9425
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2466
KY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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