Individual
DR. MARITA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4601 MARKET ST, PHILADELPHIA, PA 19139-4636
(215) 590-7555
Mailing address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-3863
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS020160
PA
Other
Enumeration date
04/04/2019
Last updated
02/06/2025
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