Individual
DR. ANDREW LOWELL COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
815 3RD AVE, SUITE 107, CHULA VISTA, CA 91911-1307
(619) 615-8850
Mailing address
PO BOX 86489, SAN DIEGO, CA 92138-6489
(619) 615-8850
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 19460
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY194600
—
CA
Enumeration date
04/10/2007
Last updated
10/21/2013
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