Individual
THOMAS M COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
251 WOODFORD ST, PORTLAND, ME 04103-5617
(207) 253-9435
(888) 765-8406
Mailing address
251 WOODFORD ST, PORTLAND, ME 04103-5617
(207) 773-2828
(207) 761-8150
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS1363
ME
103TC0700X
Clinical Psychologist
PS1363
ME
Other
Enumeration date
10/16/2012
Last updated
02/18/2019
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