Individual
DR. SONIA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCP, NCSP
Contact information
Practice address
67 N BROADVIEW AVE, LOMBARD, IL 60148-2121
(630) 699-3130
Mailing address
67 N BROADVIEW AVE, LOMBARD, IL 60148-2121
(630) 699-3130
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009842
IL
103TS0200X
School Psychologist
—
IL
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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