Provider / Organization | NPI | Date Certified |
---|---|---|
MADISON COPELAND | 1255118568 | 2023-09-11 |
Madison Copeland is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1255118568. Registration indicates Madison Copeland is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist) (Specialist/Technologist, ) (Specialist/Technologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Madison Copeland |
Practice Office Address | 13819 QUAIL POINTE DR OKLAHOMA CITY, OK US |
Practice Office Telephone | 4054676782 |
Practice Office Fax | 4054676100 |
Mailing Address | 1824 COMMONS CIR STE B YUKON, OK 730999538 US |
Business Telephone | 4054676782 |
Business Fax | 4054676100 |
Code | Practice | License No State |
---|---|---|
235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers | CF623
OK |
225500000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Specialist/Technologist Specialist/Technologist Respiratory, Developmental, Rehabilitative and Restorative Service Providers |