| Doctor Name: | DR. ANDREW LOWELL COOPER |
| NPI Number: | 1003039843 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PSY 19460 |
| Business Practice Address: | 815 3rd Ave Suite 107 Chula Vista, CA - 919111307 |
| Business Phone Number: | 6196158850 |
| Business Fax Number: | |
| Mailing Address: | Po Box 86489, SAN DIEGO |
| State: | CA |
| Postal Code: | 921386489 |
| Phone Number: | 6196158850 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 10/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY 19460 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |