Provider Demographics
NPI:1487859757
Name:COOPER, MARCY (MD)
Entity type:Individual
Prefix:DR
First Name:MARCY
Middle Name:
Last Name:COOPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5277 MANHATTAN CIRCLE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303
Mailing Address - Country:US
Mailing Address - Phone:303-666-0443
Mailing Address - Fax:303-666-7505
Practice Address - Street 1:5277 MANHATTAN CIRCLE
Practice Address - Street 2:SUITE 110
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303
Practice Address - Country:US
Practice Address - Phone:303-666-0443
Practice Address - Fax:303-666-7505
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO379922084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry