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Individual

DR. ELLEN COOPER JOSEPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
5244 LYNGATE CT # 200, BURKE, VA 22015-1631
(703) 910-2577
Mailing address
8286 WOLD DEN CT, SPRINGFIELD, VA 22153-3809
(609) 970-0171

Taxonomy

Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
0810008183
VA

Other

Enumeration date
08/19/2016
Last updated
08/22/2023
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