| Cooper Psychological Associates, Inc. | |
|
4949 Liberty Ln Suite 5 Wescosville PA 18106-9014 | |
| (610) 821-9422 | |
| (610) 820-6308 |
| Full Name | Cooper Psychological Associates, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 4949 Liberty Ln, Wescosville, Pennsylvania |
| Authorized Official Name and Position | Janice Marion Cooper (DIRECTOR) |
| Authorized Official Contact | 6108219422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper Psychological Associates, Inc. 4949 Liberty Lane Suite 5 Wescosville PA 18106-9017 Ph: (610) 821-9422 | Cooper Psychological Associates, Inc. 4949 Liberty Ln Suite 5 Wescosville PA 18106-9014 Ph: (610) 821-9422 |
| NPI Number | 1306872924 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 04/28/2016 |
| Medicare PECOS PAC ID | 5193024974 |
|---|---|
| Medicare Enrollment ID | O20160428001722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306872924 | NPI | - | NPPES |
| 02308900 | Other | PA | CAPITAL BLUE CROSS |
| 338509 | Other | PA | HIGHMAR BLUE SHIELD |
| 257539000 | Other | PA | MAGELLAN |
| 0059905000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 293720 | Other | PA | MANAGED HEALTH NETWORK |
| 1663388 | Other | PA | AMERIHEALTH |
| 7973084 | Other | PA | AETNA |
| C38509 | Other | PA | EPHN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS 001285-L (Pennsylvania) | Primary |
| Provider Name | Janice M Cooper |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1558396945 PECOS PAC ID: 2062711849 Enrollment ID: I20160428001878 |
Carol L Carr, Lpc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4949 Liberty Ln, Suite 5, Wescosville, PA 18106 Phone: 610-821-9422 Fax: 610-820-6308 |