Most Relevant Information
Provider Data
| NPI Number: | 1003653056 |
| Provider Name: | TYSON COPLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/09/2024 |
| Last Updated: | 09/26/2024 |
Provider Practice Location
411 COURT ST
PORTSMOUTH
OH
456623932
Practice Location Phone/Fax
| Phone: | 7403546685 |
| Fax: | 7408764005 |
Provider Mailing Location
411 COURT ST
PORTSMOUTH
OH
456623932
Provider Mailing Phone/Fax
| Phone: | 7403546685 |
| Fax: | 7408764005 |