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DR. MARY ELIZABETH COOPER PH.D.
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1780891796
Individual Registrant:DR. MARY ELIZABETH COOPER PH.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
115 W. RYUS AVE. LA VETA, CO 81055 US
Tel: 719-742-3704 Fax: 719-742-3704
Tel: 719-742-3704 Fax: 719-742-3704
Contact information for business:
PO BOX 68 LA VETA, CO 81055-0068 US
Tel: 719-742-3704 Fax: 719-742-3704
Tel: 719-742-3704 Fax: 719-742-3704
Registration Information:
NPI: 1780891796
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CO | 121 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
