Organization
COOPER PSYCHOLOGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE MARION COOPER (DIRECTOR)
(610) 821-9422
Entity
Organization
Contact information
Practice address
4949 LIBERTY LN, SUITE 5, WESCOSVILLE, PA 18106-9014
(610) 821-9422
(610) 820-6308
Mailing address
4949 LIBERTY LANE, SUITE 5, WESCOSVILLE, PA 18106-9017
(610) 821-9422
(610) 820-6308
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS 001285-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059905000
INDEPENDENCE BLUE CROSS
PA
01
—
02308900
CAPITAL BLUE CROSS
PA
01
—
1663388
AMERIHEALTH
PA
01
—
257539000
MAGELLAN
PA
01
—
293720
MANAGED HEALTH NETWORK
PA
01
—
338509
HIGHMAR BLUE SHIELD
PA
01
—
7973084
AETNA
PA
01
—
C38509
EPHN
PA
Enumeration date
06/24/2006
Last updated
04/28/2016
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