Most Relevant Information
Provider Data
| NPI Number: | 1003237892 |
| Provider Name: | AMY DIANE COPLEN MA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/20/2013 |
| Last Updated: | 12/20/2013 |
Provider Practice Location
850 N HARRISON ST
WARSAW
IN
465803163
Practice Location Phone/Fax
| Phone: | 5742677169 |
| Fax: | 5742693995 |
Provider Mailing Location
850 N HARRISON ST
WARSAW
IN
465803163
Provider Mailing Phone/Fax
| Phone: | 5742677169 |
| Fax: | 5742693995 |