Dr. Nicole D Cooper Lopez, Psy.D.
Psychologist, Clinical in Casa Grande, AZ. Individual provider (NPI-1).
NPI number1033459557
StatusActive
Last updated in NPPESFeb 20, 2013
Details
- NPI
- 1033459557
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicole D Cooper Lopez
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2013
- Last updated
- Feb 20, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 4353 | AZ | Yes |
Practice location
109 W 2nd StCasa Grande, AZ 85122-4406
Phone 520-369-2511
Mailing address
Po Box 12436Casa Grande, AZ 85130-0619
Phone 520-369-2511
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