Cooper, Andrew Lowell
Cooper, Andrew Lowell is an sole proprietor health care provider with primary practice located at 815 3Rd Ave Suite 107, Chula Vista CA 91911-1307. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cooper, Andrew Lowell can be contacted via phone (619) 615-8850.Contact Information
Primary practice address
815 3Rd Ave Suite 107
Chula Vista CA 91911-1307
Phone: (619) 615-8850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 19460 | California |
Profile Details
| NPI number | 1003039843 |
|---|---|
| LBN Legal business name | Cooper, Andrew Lowell |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Oct 21st, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003039843 | NPPES |
| California | MEDICAID | PSY194600 |
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