Provider Demographics
NPI:1467717199
Name:COPELAND, JENNA LEIGH (CF-SLP)
Entity Type:Individual
Prefix:MISS
First Name:JENNA
Middle Name:LEIGH
Last Name:COPELAND
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 SENATOR DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-1328
Mailing Address - Country:US
Mailing Address - Phone:615-516-5110
Mailing Address - Fax:
Practice Address - Street 1:234 SENATOR DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-1328
Practice Address - Country:US
Practice Address - Phone:931-538-3755
Practice Address - Fax:931-538-3756
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist