Individual provider · Type 1 NPI
Damekica N. Cooper, CNA
Health Service Psychologist · Detroit, MI
Practice location
20200 Veach St
Detroit, MI 48234-3218
Mailing address
14120 15 Mile Rd Apt 110
Sterling Heights, MI 48312-5561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 230005622360101 (MI) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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About NPI 1336745231
Damekica N. Cooper, CNA's National Provider Identifier is 1336745231, issued on Dec 7, 2020. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Detroit, MI. The record was last updated on Dec 7, 2020.