Joan T Cooper Phd Pa | |
8259 N Military Trl Suite 12 West Palm Beach FL 33410-6352 | |
(561) 776-2260 | |
Not Available |
Full Name | Joan T Cooper Phd Pa |
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Speciality | Psychologist |
Location | 8259 N Military Trl, West Palm Beach, Florida |
Authorized Official Name and Position | Joan T Cooper (OWNER) |
Authorized Official Contact | 5617762266 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Joan T Cooper Phd Pa 8259 N Military Trl Suite 12 West Palm Beach FL 33410-6352 Ph: (561) 776-2260 | Joan T Cooper Phd Pa 8259 N Military Trl Suite 12 West Palm Beach FL 33410-6352 Ph: (561) 776-2260 |
NPI Number | 1427299437 |
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Provider Enumeration Date | 03/20/2009 |
Last Update Date | 07/23/2012 |
Medicare PECOS PAC ID | 0749330850 |
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Medicare Enrollment ID | O20090611000388 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427299437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY7117 (Florida) | Primary |
Provider Name | Joan T Cooper |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1033158753 PECOS PAC ID: 3274531231 Enrollment ID: I20061129000455 |
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