| Angela D Copeland | |
|
3525 4th Ave San Diego CA 92103-4912 | |
| (760) 449-1888 | |
| Not Available |
| Full Name | Angela D Copeland |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3525 4th Ave, San Diego, California |
| Authorized Official Name and Position | Angela Copeland (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7604491888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela D Copeland 5120 Mount Helix Dr La Mesa CA 91941-4358 Ph: (760) 449-1888 | Angela D Copeland 3525 4th Ave San Diego CA 92103-4912 Ph: (760) 449-1888 |
| NPI Number | 1861899080 |
|---|---|
| Provider Enumeration Date | 12/03/2014 |
| Last Update Date | 12/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861899080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY22974 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | 39137 (California) | Secondary |
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