Cooper, Timothy J

Cooper, Timothy J is an individual health care provider with primary practice located at 3601 The Vanderbilt Clinic , Nashville TN 37232-0001. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Cooper, Timothy J can be contacted via phone (615) 322-3000.

Contact Information

Primary practice address
3601 The Vanderbilt Clinic Nashville TN 37232-0001
Phone: (615) 322-3000
Fax: (615) 936-6095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2386 Tennessee

Profile Details

NPI number 1689669038
LBN Legal business name Cooper, Timothy J
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Sep 13th, 2012 - about 13 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 1689669038 NPPES
Tennessee MEDICAID 5440567

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