Angela D Copeland
Psychologist, Clinical in San Diego, CA. Organization (NPI-2).
NPI number1861899080
StatusActive
Last updated in NPPESDec 15, 2014
Details
- NPI
- 1861899080
- Entity type
- Organization (NPI-2)
- Legal business name
- Angela D Copeland
- Organization subpart
- No
- Enumeration date
- Dec 3, 2014
- Last updated
- Dec 15, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY22974 | CA | Yes |
| 106H00000X | Marriage & Family Therapist | 39137 | CA |
Practice location
3525 4th AveSan Diego, CA 92103-4912
Phone 760-449-1888
Mailing address
5120 Mount Helix DrLa Mesa, CA 91941-4358
Phone 760-449-1888
Authorized official
Angela Copeland
Psychologist/Owner
7604491888
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