Charles W Cooper, SCHOOL PSYCHOLOGIST

NPI #1790243459 in Charles Town, West Virginia

Provider Information

NPI Number: 1790243459
Entity Type: Individual
Name: Charles W Cooper, SCHOOL PSYCHOLOGIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Credential: SCHOOL PSYCHOLOGIST
Enumeration Date: Mar 12, 2019
Last Updated: Mar 12, 2019

Practice Location

Address: 110 MORDINGTON AVENUE
Address 2: JEFFERSON COUNTY BOARD OF EDUCATION
City: Charles Town
State: West Virginia
ZIP Code: 25414
Phone: (304) 267-3595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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