Doctor Name: | MRS. LINDA HOWARD COOPER |
NPI Number: | 1043686082 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BA APPLIED BEHAVIORA |
License Number: | APPLIED BEHAVIORAL |
Business Practice Address: | 1397 Smith Rd Waycross, GA - 315036915 |
Business Phone Number: | 9125501199 |
Business Fax Number: | |
Mailing Address: | 1397 Smith Rd, WAYCROSS |
State: | GA |
Postal Code: | 315036915 |
Phone Number: | 9125501199 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2015 |
NPI Last Update Date: | 08/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | APPLIED BEHAVIORAL |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |