Individual
DR. MATTHEW C COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., MCSP
Contact information
Practice address
3408 WOODLAND AVENUE, SUITE 102, WEST DES MOINES, IA 50266-5365
(515) 267-1996
(515) 207-9416
Mailing address
3408 WOODLAND AVE STE 102, WEST DES MOINES, IA 50266-6504
(515) 267-1996
(515) 207-9416
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
001265
IA
103TH0100X
Health Service Psychologist
000601
IA
103TP0016X
Prescribing (Medical) Psychologist
Primary
0003
IA
103TP0016X
Prescribing (Medical) Psychologist
001265
IA
Other
Enumeration date
04/25/2011
Last updated
02/03/2022
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