Organization
COOPER PSYCHOLOGICAL SERVICES PC
Active
Other names
John T Cooper PhD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN T COOPER PHD (PRESIDENT LICENSED PSYCHOLOGIST)
(770) 435-7770
Entity
Organization
Contact information
Practice address
3188 ATLANDTA RD SE, SMYRNA, GA 30080
(770) 435-7770
(770) 435-9440
Mailing address
227 SANDY SPRINGS PLACE, #D375, SANDY SPRINGS, GA 30328-5918
(770) 435-7770
(770) 435-9440
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1460
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00441548D
—
GA
Enumeration date
05/09/2007
Last updated
08/22/2020
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