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Contact Information

COOPER PSYCHOLOGICAL SERVICES PC
3188 ATLANDTA RD SE
SMYRNA, GA30080
 Phone: 770-435-7770
 Fax: 770-435-9440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for COOPER PSYCHOLOGICAL SERVICES PC · (Female)

NPI # 1922212323
Status Active
Credentials
Entity Individual
Enumeration date 05/09/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 1460
  • GA Medicaid 00441548D
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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