Provider Demographics
NPI:1538825286
Name:COOPER, DENNIS DELBERT (LPCMH)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:DELBERT
Last Name:COOPER
Suffix:
Gender:M
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 E LOOKERMAN ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-7615
Mailing Address - Country:US
Mailing Address - Phone:302-883-1710
Mailing Address - Fax:302-231-7783
Practice Address - Street 1:9 E LOOKERMAN ST
Practice Address - Street 2:SUITE 209
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-7615
Practice Address - Country:US
Practice Address - Phone:302-883-1710
Practice Address - Fax:302-231-7783
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-16
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0011129101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health