Healthcare Provider Details

I. General information

NPI: 1154329571
Provider Name (Legal Business Name): LINDA CARMAN COPEL PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2005
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 KERRY LN
MALVERN PA
19355-2160
US

IV. Provider business mailing address

6 KERRY LN
MALVERN PA
19355-2160
US

V. Phone/Fax

Practice location:
  • Phone: 610-644-2171
  • Fax: 610-644-6597
Mailing address:
  • Phone: 610-644-2171
  • Fax: 610-644-6597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN272213L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberRN272213L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberRN272213L
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberRN272213L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: