Individual
BRITAINEY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ED.S, NCSP
Contact information
Practice address
2601 IRON GATE DR STE 101, WILMINGTON, NC 28412-6624
(910) 202-9113
(910) 202-9289
Mailing address
440 MOTTS CREEK RD, WILMINGTON, NC 28412-7854
(304) 377-6252
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6627
NC
103TS0200X
School Psychologist
46326
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6627
NC PSYCH BOARD LICENSE
NC
Enumeration date
09/06/2017
Last updated
12/10/2024
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