Doctor Name: | BENJAMIN MICHAEL COPLAN |
NPI Number: | 1033324181 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 036122961 |
Business Practice Address: | 3000 S State Road 135 Ste 230 Greenwood, IN - 461439607 |
Business Phone Number: | 3175350728 |
Business Fax Number: | 3175350735 |
Mailing Address: | 6626 E 75th Street, Ste 500 INDIANAPOLIS |
State: | IN |
Postal Code: | 462502890 |
Phone Number: | 3176217561 |
Fax Number: | 3173556096 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 07/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 036122961 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |