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NPI Code Detail

MEDICARE: MS. DENISE MARIE COOPER P.C.

MEDICARE: MS. DENISE MARIE COOPER P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorC0600329OH
2221700000XArt Therapist

General Provider Information

NPI Number : 1750408555
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DENISE MARIE COOPER P.C.
Provider Business Mailing Address
First Line : 3416 TUXEDO AVE
Second Line :
City : PARMA
State : OH
Zip : 44134-1239
Country : US
Telephone Number : 216-661-4959
Fax Number :
Provider Business Practice Location Address
First Line : 12200 FAIRHILL RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-1058
Country : US
Telephone Number : 216-791-9303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2007
Last Update Date : 09/11/2025

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Directions to “ MS. DENISE MARIE COOPER P.C.” Practice Location

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