Individual provider · Type 1 NPI

Kellie Cooper, LP, HSPP

Clinical Psychologist · Fort Wayne, IN

NPI number 1316437205 Active

Practice location

3010 E State Blvd
Fort Wayne, IN 46805-4700

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X20043895 (IN)
Clinical Psychologist Primary 103TC0700X6301016322 (MI)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1316437205

Kellie Cooper, LP, HSPP's National Provider Identifier is 1316437205, issued on May 16, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 21, 2026.