Individual
LAURIE E COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1616 WESTGATE CIR STE 229, BRENTWOOD, TN 37027-8019
(615) 417-0081
Mailing address
1624 WESTGATE CIR, STE 100, BRENTWOOD, TN 37027-8053
(615) 221-7075
(615) 221-7079
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2346
TN
2084P0800X
Psychiatry Physician
9912P
AR
Other
Enumeration date
05/13/2006
Last updated
08/01/2024
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