Organization
COOPER YOUNG THERAPIST
Active
Other names
Cooper Young Therapist, Earle G Donelson
Organization subpart
No
Provider details
NPI number
Authorized official
EARLE G DONELSON PSYCHOLOGIST (OWNER)
(901) 383-3561
Entity
Organization
Contact information
Practice address
832 S COOPER ST, MEMPHIS, TN 38104-5409
(901) 383-3561
(901) 791-4390
Mailing address
832 S COOPER ST, MEMPHIS, TN 38104-5409
(901) 383-3561
(901) 791-4390
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/04/2025
Last updated
04/16/2025
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