Doctor Name: | MS. PATTI KAY COOPER |
NPI Number: | 1023115946 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-C |
License Number: | 13243 |
Business Practice Address: | 11116 Medical Campus Rd Suite 2989 Hagerstown, MD - 217426710 |
Business Phone Number: | 3017667600 |
Business Fax Number: | 3017667702 |
Mailing Address: | 19227 Rock Maple Dr, HAGERSTOWN |
State: | MD |
Postal Code: | 217422548 |
Phone Number: | 3017916984 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 10/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 13243 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |