Organization
COOPER LOPEZ AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE D COOPER LOPEZ PSY.D. (OWNER/ CLINICAL PSYCHOLOGIST)
(520) 369-2511
Entity
Organization
Contact information
Practice address
109 W 2ND ST, CASA GRANDE, AZ 85122-4406
(520) 369-2511
(520) 413-1250
Mailing address
109 W 2ND ST, CASA GRANDE, AZ 85122-4406
(520) 369-2511
(520) 413-1250
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4353
AZ
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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