Cooper, Mark Richard

Cooper, Mark Richard is an individual health care provider with primary practice located at 1380 Progress Way Ste 101 , Eldersburg MD 21784-6498. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Cooper, Mark Richard can be contacted via phone (410) 549-5181.

Contact Information

Primary practice address
1380 Progress Way Ste 101 Eldersburg MD 21784-6498
Phone: (410) 549-5181
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 03689 Maryland

Profile Details

NPI number 1598459232
LBN Legal business name Cooper, Mark Richard
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2023
Last updated Jul 14th, 2023 - about last year

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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