Individual
MS. HENRIETTA ELIZABETH COOPER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115
(617) 355-7181
(617) 730-0185
Mailing address
150 GRANT ST, LEXINGTON, MA 02420
(781) 860-9740
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
150598
MA
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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