Cooper, Prue E
Cooper, Prue E is an individual health care provider with primary practice located at 625 Fair Oaks Ave Ste 300 , South Pasadena CA 91030-5805. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Cooper, Prue E can be contacted via phone (626) 441-4221.Contact Information
Primary practice address
625 Fair Oaks Ave Ste 300
South Pasadena CA 91030-5805
Phone: (626) 441-4221
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LS05051221 | California |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 7597-R | California |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1629318738 |
---|---|
LBN Legal business name | Cooper, Prue E |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 26th, 2013 |
Last updated | Mar 4th, 2024 - 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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