| Doctor Name: | JOAN T. COOPER |
| NPI Number: | 1033158753 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PY7117 |
| Business Practice Address: | 8259 N Military Trail Ste 9 Palm Beach Gardens, FL - 334106352 |
| Business Phone Number: | 5617762266 |
| Business Fax Number: | |
| Mailing Address: | 8259 N Military Trail, Ste 9 PALM BEACH GARDENS |
| State: | FL |
| Postal Code: | 334106352 |
| Phone Number: | 5617762266 |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 06/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY7117 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |