Phyllis Graves-cooper,ph.d.-psychologist Llc | |
967 Route 22 Brewster NY 10509-6561 | |
(845) 529-3900 | |
(845) 278-0444 |
Full Name | Phyllis Graves-cooper,ph.d.-psychologist Llc |
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Speciality | Psychologist - Clinical |
Location | 967 Route 22, Brewster, New York |
Authorized Official Name and Position | Phyllis Jane Graves-cooper (C.E.O) |
Authorized Official Contact | 8452780444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Phyllis Graves-cooper,ph.d.-psychologist Llc 1102 Scarborough Drive Brewster NY 10509-6561 Ph: (845) 278-0444 | Phyllis Graves-cooper,ph.d.-psychologist Llc 967 Route 22 Brewster NY 10509-6561 Ph: (845) 529-3900 |
NPI Number | 1316165640 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 12/17/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316165640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 012874 (New York) | Primary |
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