Mark Bradley Copeland in Santa Monica - Clinical
Mark Bradley Copeland - NPI 1093929200
Mark Bradley Copeland is a Clinical in Santa Monica, California. Mark Bradley Copeland practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Bradley Copeland is 1093929200. The last update date is 2019-11-25.
Mark Bradley Copeland's current location address is 2730 Wilshire Blvd Ste 660, Santa Monica, California. You can contact this provider via phone number 3109682668. The mailing address for Mark Bradley Copeland is 2730 Wilshire Blvd Ste 660, Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Bradley Copeland |
|---|---|
| Address | 2730 Wilshire Blvd Ste 660, Santa Monica, California |
| Phone Number | 3109682668 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1093929200 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2019-11-25 |
Provider Mailing Address Detail
| Address | 2730 Wilshire Blvd Ste 660 |
|---|---|
| City | Santa Monica |
| State | California (CA) |
| Post Code | 904034746 |
| Phone Number | 3109682668 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 18589 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to Mark Bradley Copeland by the Centers for Medicare & Medicaid Services?
The Mark Bradley Copeland has been assigned the NPI (National Provider Identifier) 1093929200 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mark Bradley Copeland?
The Mark Bradley Copeland is situated at 2730 Wilshire Blvd Ste 660, in the city of Santa Monica, state of CA, with the zip code 904034746.
What is the area of specialization for Mark Bradley Copeland, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark Bradley Copeland is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093929200 to Mark Bradley Copeland?
The Centers for Medicare & Medicaid Services originally issued the 1093929200 to Mark Bradley Copeland on 2007-05-09.
When was the information pertaining to Mark Bradley Copeland most recently updated or revised?
The details related to Mark Bradley Copeland, including its address, specialty, and other relevant information, were last updated or revised on 2019-11-25.
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