Individual
DR. DONNA JEAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
18399 VENTURA BLVD., SUITE # 248, TARZANA, CA 91356
(818) 708-3600
(818) 708-1648
Mailing address
18399 VENTURA BLVD., SUITE # 248, TARZANA, CA 91356
(818) 708-3600
(818) 708-1648
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10793
CA
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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