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1942811310 NPI number — KESHIA MARANDA SANDERS COOPER PH.D.

NPI Number: 1942811310
Health Care Provider/Practitioner: KESHIA MARANDA SANDERS COOPER PH.D.

Information about “1942811310” NPI (KESHIA MARANDA SANDERS COOPER PH.D.) exists in 1942811310 in HTML format HTML  |  1942811310 in plain Text format TXT  |  1942811310 in PDF (Portable Document Format) PDF  |  1942811310 in an XML format XML  formats.

NPI Number : 1942811310 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942811310",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COOPER",
    "FirstName": "KESHIA",
    "MiddleName": "MARANDA SANDERS",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SANDERS",
    "OtherFirstName": "KESHIA",
    "OtherMiddleName": "MARANDA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "751 HEBRON PKWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEWISVILLE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75057-5055",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "469-549-4200",
    "MailingAddressFaxNumber": "469-549-4201",
    "FirstLinePracticeLocationAddress": "751 HEBRON PKWY STE 310",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEWISVILLE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75057-5054",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "469-549-4200",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/11/2020",
    "LastUpdateDate": "06/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC2200X",
          "TaxonomyName": "Clinical Child & Adolescent Psychologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103G00000X",
          "TaxonomyName": "Clinical Neuropsychologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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