Individual
DR. KRISTEN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
12027 INSHA CT, RESTON, VA 20191-2618
(703) 896-0817
Mailing address
12027 INSHA CT, RESTON, VA 20191-2618
(703) 896-0817
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810007644
VA
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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