| Doctor Name: | SUSAN LEE COOLEY |
| NPI Number: | 1053489237 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, RN, CS |
| License Number: | 119642 |
| Business Practice Address: | 42 Washington St Suite 210 Wellesley Hills, MA - 024811803 |
| Business Phone Number: | 7814167317 |
| Business Fax Number: | 7814164321 |
| Mailing Address: | 34 Oak Ter, NEWTON HIGHLANDS |
| State: | MA |
| Postal Code: | 024611409 |
| Phone Number: | 6172440235 |
| Fax Number: | 7814164321 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 119642 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |