| Mrs Stephanie L Cooper, PHD | |
|
1600 22nd Ave Fl 3, Meridian, MS 39301-3223 | |
| (601) 703-8370 | |
| Not Available |
| Full Name | Mrs Stephanie L Cooper |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 1600 22nd Ave Fl 3, Meridian, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841273885 | NPI | - | NPPES |
| 47063717826 | Medicaid | NE | |
| 02885 | Other | NE | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 614 (Nebraska) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 46755 (Mississippi) | Primary |
| Entity Name | Anderson Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972720175 PECOS PAC ID: 4284548025 Enrollment ID: O20031117000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stephanie L Cooper, PHD Po Box 749215, Atlanta, GA 30374-9215 Ph: (901) 226-3186 | Mrs Stephanie L Cooper, PHD 1600 22nd Ave Fl 3, Meridian, MS 39301-3223 Ph: (601) 703-8370 |
Kenneth R Schneider, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1820 23rd Ave, Meridian, MS 39301 Phone: 601-513-4268 Fax: 601-282-5851 | |
Dr. Rodney Wilson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-703-4366 Fax: 601-703-4064 | |
Dr. Bonnie Roberts Chavez, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Naval Branch Health Clinic, 1801 Fuller Rd. Suite A-01 Bldg 367, Meridian, MS 39309 Phone: 601-679-3969 | |
Alisha Dawn Marlow, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1415 College Dr, Meridian, MS 39307 Phone: 601-483-4821 Fax: 601-485-0223 | |
Dr. Jan Parr Boggs, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1508 37th Avenue, Meridian, MS 39307 Phone: 601-482-4285 Fax: 601-482-7972 | |
Dr. Bonnie Ruth Allen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1622 24th Ave, Meridian, MS 39301 Phone: 601-485-5225 Fax: 601-485-5225 | |
Michelle Denise Boucher-snodgrass, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2449 N Park Dr Ste C, Meridian, MS 39305 Phone: 601-282-5250 Fax: 601-286-5305 |