Provider Demographics
NPI:1164855011
Name:COPELAND, LINDSEY YOUNG (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:YOUNG
Last Name:COPELAND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:ELIZABETH
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10828 WILMORE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-9191
Mailing Address - Country:US
Mailing Address - Phone:919-358-9624
Mailing Address - Fax:
Practice Address - Street 1:1316 BROAD ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3533
Practice Address - Country:US
Practice Address - Phone:919-358-9624
Practice Address - Fax:919-908-7481
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103077103T00000X
NC4772103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist