Provider Demographics
NPI:1215116728
Name:COPELAND, DRU (PHD)
Entity type:Individual
Prefix:DR
First Name:DRU
Middle Name:
Last Name:COPELAND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 DEER RUN DR
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-4511
Mailing Address - Country:US
Mailing Address - Phone:832-515-5825
Mailing Address - Fax:
Practice Address - Street 1:45-3593 MAMANE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:HONOKAA
Practice Address - State:HI
Practice Address - Zip Code:96727-6976
Practice Address - Country:US
Practice Address - Phone:832-515-5825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI758103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist