Individual
SUSAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
16850 BUFFALO VALLEY PATH, MONUMENT, CO 80132-7172
(719) 649-3520
Mailing address
16850 BUFFALO VALLEY PATH, MONUMENT, CO 80132-7172
(719) 649-3520
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
CO
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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