Cooper, Laurie
Cooper, Laurie is an sole proprietor health care provider with primary practice located at 1066 Storrs Rd , Storrs CT 06268-2648. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cooper, Laurie can be contacted via phone (860) 429-2928.Contact Information
Primary practice address
1066 Storrs Rd
Storrs CT 06268-2648
Phone: (860) 429-2928
Fax: (860) 429-2949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 003953 | Connecticut |
Profile Details
| NPI number | 1831261619 |
|---|---|
| LBN Legal business name | Cooper, Laurie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Sep 7th, 2012 - about 12 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 | 1831261619 | NPPES |
| Connecticut | Other | D300076553 | MEDICARE PTAN |
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