Cooley, June

Cooley, June is an sole proprietor health care provider with primary practice located at 6 Concourse Pkwy Ste 1650 , Atlanta GA 30328-5325. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Cooley, June can be contacted via phone (770) 797-5734.

Contact Information

Primary practice address
6 Concourse Pkwy Ste 1650 Atlanta GA 30328-5325
Fax: (404) 373-9423
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN057065 Georgia
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY002865 Georgia

Profile Details

NPI number 1073536587
LBN Legal business name Cooley, June
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Jun 12th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073536587 NPPES
Georgia MEDICAID 209210988A

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