Cooper, Marlene G.
Cooper, Marlene G. is an sole proprietor health care provider with primary practice located at 2223 Rossini Ln , Middletown DE 19709-3212. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cooper, Marlene G. can be contacted via phone (732) 967-1659.Contact Information
Primary practice address
2223 Rossini Ln
Middletown DE 19709-3212
Phone: (732) 967-1659
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | PRO11450 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SCO1436000 | New Jersey |
Profile Details
| NPI number | 1881771848 |
|---|---|
| LBN Legal business name | Cooper, Marlene G. |
| Credentials | PH.D. LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Aug 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881771848 | NPPES |
| Other | 146934 | BEACON HEALTH OPTIONS | |
| Other | NS350 | BEACON HEALTH OPTIONS | |
| Other | 0082299 | BEACON HEALTH OPTIONS |
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