Cooley, Daryl
Cooley, Daryl is an sole proprietor health care provider with primary practice located at 4301 W Markham St # 654 , Little Rock AR 72205-7101. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cooley, Daryl can be contacted via phone (857) 264-0965.Contact Information
Primary practice address
4301 W Markham St # 654
Little Rock AR 72205-7101
Phone: (857) 264-0965
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 202174 | Arkansas |
Profile Details
| NPI number | 1902297252 |
|---|---|
| LBN Legal business name | Cooley, Daryl |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2015 |
| Last updated | Jun 3rd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902297252 | NPPES |
| Massachusetts | MEDICAID | 1307576 | |
| Massachusetts | Other | M18463 | |
| Massachusetts | MEDICAID | 1303295 |
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