Individual provider · NPI-1
Joan T. Cooper
Psychologist, Clinical · Palm Beach Gardens, FL
NPI number1033158753
StatusActive
Last updated in NPPESJun 20, 2008
Details
- NPI
- 1033158753
- Entity type
- Individual (NPI-1)
- Name
- Joan T. Cooper
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2006
- Last updated
- Jun 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY7117 | FL | Yes |
Practice location
8259 N Military TrailSte 9
Palm Beach Gardens, FL 33410-6352
Phone 561-776-2266
Mailing address
8259 N Military TrailSte 9
Palm Beach Gardens, FL 33410-6352
Phone 561-776-2266
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