Individual
MRS. SUSAN BEAM COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LMUP
Contact information
Practice address
4535 NORMAL BLVD, SUITE 272, LINCOLN, NE 68506-2890
(402) 434-0949
(402) 488-8525
Mailing address
4535 NORMAL BLVD, SUITE 272, LINCOLN, NE 68506-2890
(402) 434-0949
(402) 488-8525
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1414
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025233500
—
NE
Enumeration date
12/05/2006
Last updated
07/08/2007
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