| Doctor Name: | PATRICIA V. COOPER |
| NPI Number: | 1043322076 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 01382 |
| Business Practice Address: | 12380 Depaul Dr. Ssm Rehabilitation Hospital - Physician's Services Bridgeton, MO - 630442588 |
| Business Phone Number: | 3144479705 |
| Business Fax Number: | 3144479706 |
| Mailing Address: | 12380 Depaul Dr., Ssm Rehabilation Hospital - Physician's Services BRIDGETON |
| State: | MO |
| Postal Code: | 630442588 |
| Phone Number: | 3144479705 |
| Fax Number: | 3144479706 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 08/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 01382 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |