Individual
DR. BARBARA J COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130
(847) 703-9082
Mailing address
411C DEDHAM ST, NEWTON, MA 02459-3300
(847) 703-9082
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071003375
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1673109
BC/BS PROVIDER NUMBER
IL
Enumeration date
12/09/2005
Last updated
07/19/2018
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