Dr Gordon Kenneth Cooper, PHD | |
55 Hope St, Providence, RI 02906-2001 | |
(401) 331-1350 | |
(401) 277-3366 |
Full Name | Dr Gordon Kenneth Cooper |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 55 Hope St, Providence, Rhode Island |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144259151 | NPI | - | NPPES |
089590 | Other | VALUE OPTIONS | |
2195772 | Other | AETNA | |
7855-9 | Other | BLUE CROSS/BLUE SHIELD | |
62-10104 | Other | UNITED BEHAVIORAL HEALTH | |
GC02929 | Medicaid | RI | |
407027 | Other | BLUE CHIP |
Mailing Address | Practice Location Address |
---|---|
Dr Gordon Kenneth Cooper, PHD 434 Greenville Ave, Johnston, RI 02919-2224 Ph: (401) 331-1350 | Dr Gordon Kenneth Cooper, PHD 55 Hope St, Providence, RI 02906-2001 Ph: (401) 331-1350 |
Olivia Meunier, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-274-2500 | |
Mr. Brian P Shea, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Park Row W, #426, Providence, RI 02903 Phone: 617-455-2788 | |
Alisha Choquette, AA, ACDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Burnett St, Providence, RI 02907 Phone: 401-785-0050 Fax: 401-941-0089 | |
Betsy Riccio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 River Ave, Providence, RI 02908 Phone: 401-465-1955 | |
Miss Ashley L Addison, BA, LCDP, CCSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4100 | |
Jennifer Ortiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110 | |
Shane Lima, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110 |