Individual
DR. RACHEL ELIZABETH COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1611 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4302
(617) 661-5515
Mailing address
1611 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4302
(617) 661-5515
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10668
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1301071
GROUP MEDICAID NUMBER
MA
Enumeration date
03/31/2011
Last updated
01/15/2015
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