Individual
JOHN K COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSEDPSYCHOLOGIST
Contact information
Practice address
3600 BRIARFIELD BLVD, STE. 3, MAUMEE, OH 43537-8919
(419) 866-2830
(419) 866-2831
Mailing address
3600 BRIARFIELD BLVD, STE. 3, MAUMEE, OH 43537-8919
(419) 866-2830
(419) 866-2831
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2223
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271336
VALUE OPTIONS
OH
Enumeration date
07/31/2006
Last updated
07/08/2007
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