Individual
DR. COOPER BUFKIN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1151 N STATE ST STE 212, JACKSON, MS 39202-2467
(601) 352-7398
(601) 352-0442
Mailing address
1151 N STATE ST STE 212, JACKSON, MS 39202-2467
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
44 715
MS
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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