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Individual

DR. TAKESHA JENENE COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5190 NEIL RD STE 215, RENO, NV 89502-6509
(775) 982-7800
Mailing address
5190 NEIL RD STE 215, RENO, NV 89502-6509
(775) 982-7800
(775) 982-8043

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A88199
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A88199
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A881990
CA
Enumeration date
05/01/2007
Last updated
10/02/2023
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