Individual
LARISSA COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6701 N CHARLES ST, TOWSON, MD 21204-6808
(443) 849-2597
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0007339
MD
Other
Enumeration date
11/11/2019
Last updated
10/16/2025
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