Individual
ELIZABETH COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
201 GREEN PASTURE RD, MEBANE, NC 27302-8427
(252) 349-8307
Mailing address
201 GREEN PASTURE RD, MEBANE, NC 27302-8427
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4075
NC
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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