Organization
COOPERS MENTAL HEALH CONSULTATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC COOPER (CLINICAL DIRECTOR)
(334) 539-7017
Entity
Organization
Contact information
Practice address
8743 RIDGESTONE CT, MONTGOMERY, AL 36117
(334) 539-7017
Mailing address
8743 RIDGESTONE CT, MONTGOMERY, AL 36117-8874
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1508007436
AL
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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