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1902158876
MATTHEW COOPERSMITH
BOISE, ID
NPI
1902158876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 2148)
Enumeration Date
2012-10-03
Last Update Date
2023-08-18
Business Address
Dr. MATTHEW COOPERSMITH PsyD
444 W FORT ST FL 2
BOISE, ID 83702-4535
Phone number: 208-422-1018
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Mailing Address
Dr. MATTHEW COOPERSMITH PsyD
444 W FORT ST FL 2
BOISE, ID 83702-4535
Phone number: 208-422-1018
Copy
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