Individual
DR. JOAN CROOK SOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
613 WALNUT ST, BOULDER, CO 80302-5031
(303) 443-1223
(303) 473-9153
Mailing address
613 WALNUT ST, BOULDER, CO 80302-5031
(303) 443-1223
(303) 473-9153
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1746
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07017460
—
CO
Enumeration date
05/02/2006
Last updated
12/20/2011
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