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Individual

MS. JANICE MARION COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

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
01744201
CAPITAL BLUE CROSS
PA
01
1034698
CIGNA
PA
01
132334000
MAGELLAN
PA
05
1394296
PA
01
164557
VALUE OPTIONS
PA
01
1664534
AMERIHEALTH
PA
01
254837
MANAGED HEALTH NETWORK
PA
01
338509
HIGHMARK BLUE SHIELD
PA
01
7160053
AETNA
PA
01
P3300773
OXFORD
PA
Enumeration date
07/12/2006
Last updated
05/16/2016
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