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Individual
MRS. BETHANY LANAE' COOPER
Active
Individual
MRS. BETHANY LANAE' COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
P.08782
OH
103TM1800X
Intellectual & Developmental Disabilities Psychologist
P.08782
OH
Other
Enumeration date
10/24/2019
Last updated
04/02/2026
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