Most Relevant Information
Provider Data
| NPI Number: | 1003044306 |
| Provider Name: | STACIE LYN COOPER PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/24/2009 |
| Last Updated: | 06/24/2009 |
Provider Practice Location
26891 SPRING ST
SAN JUAN CAPISTRANO
CA
926752692
Practice Location Phone/Fax
| Phone: | 9493617892 |
| Fax: |
Provider Mailing Location
26891 SPRING ST
SAN JUAN CAPISTRANO
CA
926752692
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |