Individual
DR. JUDITH R. COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
637 W WRIGHTWOOD AVE, APT 2W, CHICAGO, IL 60614-2579
(773) 720-3551
Mailing address
637 W WRIGHTWOOD AVE, APT 2W, CHICAGO, IL 60614-2579
(773) 720-3551
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-004341
IL
103TP0814X
Psychoanalysis Psychologist
071-004341
IL
Other
Enumeration date
11/07/2006
Last updated
12/29/2021
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