Jacqueline Cooper Mahoney, PHD is a
Psychologist - Clinical based in Perryville, Maryland. Jacqueline Cooper Mahoney is licensed to practice in Delaware (license number B10001179) and her current practice location is
515 Broad St, Perryville, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 642-2411.
NPI number for Jacqueline Cooper Mahoney is 1811540974 and her current mailing address is 20981 Coastal Hwy # 12, Rehoboth Beach, Delaware. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811540974.
Healthcare Provider's Profile
Full Name | Jacqueline Cooper Mahoney |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 515 Broad St, Perryville, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811540974
- Provider Enumeration Date: 07/18/2019
- Last Update Date: 07/18/2019
Medical Identifiers
Medical identifiers for Jacqueline Cooper Mahoney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811540974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | B10001179 (Delaware) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Cooper Mahoney is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacqueline Cooper Mahoney, PHD 20981 Coastal Hwy # 12, Rehoboth Beach, DE 19971-8003 Ph: (202) 203-9541 | Jacqueline Cooper Mahoney, PHD 515 Broad St, Perryville, MD 21903-2734 Ph: (410) 642-2411 |
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