Individual
DARYL COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4301 W MARKHAM ST # 654, LITTLE ROCK, AR 72205-7101
(857) 264-0965
Mailing address
715 N 2ND ST, NASHVILLE, TN 37207-5905
(508) 308-1623
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
202174
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303295
—
MA
05
—
1307576
—
MA
01
—
M18463
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/09/2015
Last updated
06/03/2022
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