Individual
DR. TERRI LYNN COPANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
327 FULLERTON AVE, SUITE 2, NEWBURGH, NY 12550-3726
(845) 232-1331
Mailing address
372 FULLERTON AVE, SUITE 2, NEWBURGH, NY 12550-3744
(845) 623-2133
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
015108-1
NY
103G00000X
Clinical Neuropsychologist
35SI00411400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03166781
—
NY
05
—
9089403
—
NJ
Enumeration date
10/20/2006
Last updated
09/09/2011
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