Provider Demographics
NPI:1801420625
Name:COOPER, LINDSEY T (AMFT)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:T
Last Name:COOPER
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:MRS
Other - First Name:LINDSEY
Other - Middle Name:T
Other - Last Name:COOPER-BERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3625 E THOUSAND OAKS BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3566
Mailing Address - Country:US
Mailing Address - Phone:714-812-0340
Mailing Address - Fax:
Practice Address - Street 1:3625 E THOUSAND OAKS BLVD STE 209
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3566
Practice Address - Country:US
Practice Address - Phone:714-812-0340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-02
Last Update Date:2021-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106257106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist