Individual
CYNTHIA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
317 UNION ST, SUITE C-2, MILFORD, MI 48381-1983
(248) 318-5178
Mailing address
317 UNION ST, SUITE C-2, MILFORD, MI 48381-1983
(248) 318-5178
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011735
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OF32914
BCBS PROVIDER ID
MI
Enumeration date
10/19/2006
Last updated
07/08/2007
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