Individual
DR. ILANA LINDSAY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1419 BEACON ST STE 36, BROOKLINE, MA 02446-4808
(857) 400-8696
Mailing address
1419 BEACON ST STE 36, BROOKLINE, MA 02446-4808
(857) 400-8696
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10649
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10649
BOARD OF REGISTRATION OF PSYCHOLOGISTS
MA
Enumeration date
08/01/2017
Last updated
11/15/2021
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