Individual
JACQUELINE COOPER MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
515 BROAD ST, PERRYVILLE, MD 21903-2734
(410) 642-2411
Mailing address
20981 COASTAL HWY # 12, REHOBOTH BEACH, DE 19971-8003
(202) 203-9541
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
B10001179
DE
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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