Individual
MS. SANDRA P COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA NCSP
Contact information
Practice address
940 N SEGOVIA DR, LITCHFIELD PARK, AZ 85340-4507
(623) 535-5311
Mailing address
940 N SEGOVIA DR, LITCHFIELD PARK, AZ 85340-4507
(623) 535-5311
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099129
—
AZ
Enumeration date
03/27/2007
Last updated
07/09/2007
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