Individual
TONYA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 N DECATUR BLVD APT 1055, LAS VEGAS, NV 89108-2969
(702) 285-5096
Mailing address
2701 N DECATUR BLVD APT 1055, LAS VEGAS, NV 89108-2969
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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