Provider Demographics
NPI:1700050903
Name:COOPER, SARAH ELIZABETH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH
Last Name:COOPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:REINHARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:105 POST OFFICE DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-3953
Mailing Address - Country:US
Mailing Address - Phone:831-476-1747
Mailing Address - Fax:831-685-1703
Practice Address - Street 1:105 POST OFFICE DR
Practice Address - Street 2:SUITE F
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3953
Practice Address - Country:US
Practice Address - Phone:831-476-1747
Practice Address - Fax:831-685-1703
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)