Cooper, Judith R.

Cooper, Judith R. is an sole proprietor health care provider with primary practice located at 637 W Wrightwood Ave Apt 2W, Chicago IL 60614-2579. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychoanalysis. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cooper, Judith R. can be contacted via phone (773) 720-3551.

Contact Information

Primary practice address
637 W Wrightwood Ave Apt 2W Chicago IL 60614-2579
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-004341 Illinois
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X 071-004341 Illinois

Profile Details

NPI number 1437228343
LBN Legal business name Cooper, Judith R.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2006
Last updated Dec 29th, 2021 - about 3 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.

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