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Individual

MR. PAUL C COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LP

Contact information

Practice address
79 MAIN ST STE 5, MONTPELIER, VT 05602-2955
(212) 779-2425
Mailing address
PO BOX 58, BARRE, VT 05641-0058
(917) 686-6380

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
0980000222
VT
102L00000X
Psychoanalyst
129
NY
102L00000X
Psychoanalyst
Primary

Other

Enumeration date
03/05/2007
Last updated
10/11/2023
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