Individual
DR. STEWART E. COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
826 LAPORTE AVE, VALPARAISO, IN 46383-4534
(219) 464-5002
(219) 464-6865
Mailing address
211 LEGEND DR, APARTMENT 203, VALPARAISO, IN 46383-6696
(219) 464-0311
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040467
IN
Other
Enumeration date
08/10/2006
Last updated
07/09/2007
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