Provider Demographics
NPI:1972726529
Name:COPELAND, CHRISTINE RUMMER (PHD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:RUMMER
Last Name:COPELAND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:ANNE
Other - Last Name:RUMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:140 N STROMBERG AVE
Mailing Address - Street 2:
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-2616
Mailing Address - Country:US
Mailing Address - Phone:360-774-0452
Mailing Address - Fax:425-967-5572
Practice Address - Street 1:140 N STROMBERG AVE
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-2616
Practice Address - Country:US
Practice Address - Phone:360-774-0452
Practice Address - Fax:360-344-2771
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00001233103TC1900X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling