Individual
CASEY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
27281 LAS RAMBLAS, STE 200, MISSION VIEJO, CA 92691
(949) 420-3067
(949) 305-4171
Mailing address
27201 PUERTA REAL, STE 300, MISSION VIEJO, CA 92691-7359
(949) 420-4655
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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