Individual
ANTIONETTE T COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1790 TOWN PARK BLVD, STE C, UNIONTOWN, OH 44685-7972
(330) 753-1734
Mailing address
1790 TOWN PARK BLVD, STE C, UNIONTOWN, OH 44685-7972
(330) 753-1734
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5307
OH
Other
Enumeration date
06/07/2006
Last updated
05/05/2017
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