| Doctor Name: | LAURIE COOPER |
| NPI Number: | 1831261619 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 003953 |
| Business Practice Address: | 1066 Storrs Rd Storrs, CT - 062682648 |
| Business Phone Number: | 8604292928 |
| Business Fax Number: | 8604292949 |
| Mailing Address: | Po Box 120, MANSFIELD CENTER |
| State: | CT |
| Postal Code: | 062500120 |
| Phone Number: | 8604292928 |
| Fax Number: | 8604292949 |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 09/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 003953 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |