Charles Cooper in San Diego - Clinical

Charles Cooper - NPI 1235231861

Charles Cooper is a Clinical in San Diego, California. Charles Cooper practices all healthcare services and medical treatments related to Clinical. The NPI Number for Charles Cooper is 1235231861. The last update date is 2007-07-08.

Charles Cooper's current location address is 4715 Viewridge Ave Ste 230, San Diego, California. You can contact this provider via phone number 8002578715 and fax number 8008191655. The mailing address for Charles Cooper is 4715 Viewridge Ave Ste 230, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Cooper
Address 4715 Viewridge Ave Ste 230, San Diego, California
Phone Number 8002578715
Fax Number 8008191655
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1235231861
Provider Enumeration Date 2006-09-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4715 Viewridge Ave Ste 230
City San Diego
State California (CA)
Post Code 921231680
Phone Number 8002578715
Fax Number 8008191655

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY11387
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PSY113870 CA --

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FAQs about Charles Cooper

What is the unique identifier code issued to Charles Cooper by the Centers for Medicare & Medicaid Services?

The Charles Cooper has been assigned the NPI (National Provider Identifier) 1235231861. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Charles Cooper's physical address?

The Charles Cooper is physically located at 4715 Viewridge Ave Ste 230, in the city of San Diego, CA, with the postal code 921231680.

What is Charles Cooper's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Charles Cooper is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

On what date did Charles Cooper receive its 1235231861 assignment from the Centers for Medicare & Medicaid Services?

The Charles Cooper was assigned its 1235231861 on 2006-09-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Charles Cooper most recently updated or revised?

The details related to Charles Cooper, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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