Doctor Name: | DIANA L COOPER |
NPI Number: | 1063795953 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPS |
License Number: | CG 60216842 |
Business Practice Address: | 11303 W Washington Blvd 2 Floor Los Angeles, CA - 900666003 |
Business Phone Number: | 3104826600 |
Business Fax Number: | 3103130813 |
Mailing Address: | 11303 W Washington Blvd, 2 Floor LOS ANGELES |
State: | CA |
Postal Code: | 900666003 |
Phone Number: | 3104826600 |
Fax Number: | 3103130813 |
NPI Enumeration Date: | 09/27/2011 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | CG 60216842 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |