Individual
DR. MARK RICHARD COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1380 PROGRESS WAY STE 101, ELDERSBURG, MD 21784-6498
(410) 549-5181
Mailing address
1380 PROGRESS WAY STE 101, ELDERSBURG, MD 21784-6498
(410) 549-5181
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03689
MD
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
06/06/2023
Last updated
07/14/2023
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