Individual
ANTOINETTE COOPER TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
720 E MAIN ST STE 1A, MOORESTOWN, NJ 08057-3058
(856) 722-9043
(856) 727-1715
Mailing address
720 E MAIN ST STE 1A, MOORESTOWN, NJ 08057-3058
(856) 722-9043
(856) 727-1715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
35SI00544600
NJ
Other
Enumeration date
05/13/2009
Last updated
11/01/2021
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