Doctor Name: | MR. RONALD EDWARD COPELAND |
NPI Number: | 1003186297 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | LCSW-0744 |
Business Practice Address: | 4653 E Pima St Tucson, AZ - 857123437 |
Business Phone Number: | 5203266182 |
Business Fax Number: | |
Mailing Address: | 7804 E Starbright Ct, TUCSON |
State: | AZ |
Postal Code: | 857507046 |
Phone Number: | 5202997636 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2012 |
NPI Last Update Date: | 01/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW-0744 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |