Individual
DR. TIMOTHY J COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
2386
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440567
—
TN
Enumeration date
09/13/2005
Last updated
04/29/2025
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