Individual
DR. ELLEN J. COOPER-FESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 HOSPITAL ROAD, WALTON, NY 13856
(607) 865-6522
(607) 865-7424
Mailing address
32 GROO ROAD, GRAHAMSVILLE, NY 12740
(607) 865-6522
(607) 865-7424
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016678-1
NY
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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