Doctor Name: | RHONDA E COOPER |
NPI Number: | 1659580934 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | AP00942391 |
Business Practice Address: | 5480 Big Tyler Rd Cross Lanes, WV - 253131116 |
Business Phone Number: | 3047762311 |
Business Fax Number: | 3047763779 |
Mailing Address: | 5480 Big Tyler Rd, CROSS LANES |
State: | WV |
Postal Code: | 253131116 |
Phone Number: | 3047762311 |
Fax Number: | 3047763779 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 08/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | AP00942391 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |