Individual
DR. CALLIE J COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
331 SIJAN AVE, BLDG 2032, WHITEMAN AFB, MO 65305-1269
(660) 687-4341
Mailing address
331 SIJAN AVE BLDG 2032, WHITEMAN AFB, MO 65305-1269
(660) 687-4341
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1355
LA
103T00000X
Psychologist
1355
LA
103T00000X
Psychologist
—
—
Other
Enumeration date
08/28/2013
Last updated
09/14/2022
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