Cooper, Stephanie L

Cooper, Stephanie L is an individual health care provider with primary practice located at 1415 College Dr , Meridian MS 39307-5345. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Cooper, Stephanie L can be contacted via phone (601) 483-4821.

Contact Information

Primary practice address
1415 College Dr Meridian MS 39307-5345
Phone: (601) 483-4821
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 614 Nebraska

Profile Details

NPI number 1841273885
LBN Legal business name Cooper, Stephanie L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Jul 11th, 2007 - about 17 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 1841273885 NPPES
Nebraska MEDICAID 47063717826
Nebraska Other 02885

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