| John T Cooper Phd | |
|
3188 Atlandta Rd Se Smyrna GA 30080 | |
| (770) 435-7770 | |
| (770) 435-9440 |
| Full Name | John T Cooper Phd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3188 Atlandta Rd Se, Smyrna, Georgia |
| Authorized Official Name and Position | John T Cooper (PRESIDENT LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7704357770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John T Cooper Phd 227 Sandy Springs Place #d375 Sandy Springs GA 30328-5918 Ph: (770) 435-7770 | John T Cooper Phd 3188 Atlandta Rd Se Smyrna GA 30080 Ph: (770) 435-7770 |
| NPI Number | 1922212323 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922212323 | NPI | - | NPPES |
| 00441548D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1460 (Georgia) | Primary |
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