| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/20/2009 |
| Last Update Date | 07/23/2012 |
| Medicare PECOS PAC ID | 0749330850 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033158753 PECOS PAC ID: 3274531231 Enrollment ID: I20061129000455 |
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