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Individual
CASEY COOPER
Active
Individual
CASEY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY21348
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY21348
CA
103TE1100X
Exercise & Sports Psychologist
Primary
PSY21348
CA
Other
Enumeration date
01/08/2008
Last updated
10/04/2016
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