Provider Demographics
NPI:1861900714
Name:COPPINGER, LINDA F (MA)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:F
Last Name:COPPINGER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 S HAWTHORNE AVE
Mailing Address - Street 2:
Mailing Address - City:LINDENWOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-1765
Mailing Address - Country:US
Mailing Address - Phone:856-905-1294
Mailing Address - Fax:
Practice Address - Street 1:501 S HAWTHORNE AVE
Practice Address - Street 2:
Practice Address - City:LINDENWOLD
Practice Address - State:NJ
Practice Address - Zip Code:08021-1765
Practice Address - Country:US
Practice Address - Phone:856-905-1294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No251B00000XAgenciesCase Management