Individual
DR. BRANDON COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, CMPC
Contact information
Practice address
2915 SHARER RD APT 931, TALLAHASSEE, FL 32312-2347
(740) 497-0701
Mailing address
2915 SHARER RD APT 931, TALLAHASSEE, FL 32312-2347
(740) 497-0701
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY11937
FL
Other
Enumeration date
09/19/2022
Last updated
07/31/2023
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