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Organization
PHYLLIS GRAVES-COOPER,PH.D.-PSYCHOLOGIST LLC
Active
Organization
PHYLLIS GRAVES-COOPER,PH.D.-PSYCHOLOGIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHYLLIS JANE GRAVES-COOPER PH.D. (C.E.O)
(845) 278-0444
Entity
Organization
Contact information
Practice address
967 ROUTE 22, BREWSTER, NY 10509-6561
(845) 529-3900
(845) 278-0444
Mailing address
1102 SCARBOROUGH DRIVE, BREWSTER, NY 10509-6561
(845) 278-0444
(845) 278-0444
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012874
NY
Other
Enumeration date
04/23/2007
Last updated
12/17/2013
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