DR. Linda Cooper Lack, PHD
NPI #1043357064 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1043357064
- Entity Type
- Individual
- Name
- DR. Linda Cooper Lack, PHD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- PHD
- Enumeration Date
- Jan 31, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1371 WADING BIRD LANE
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29577
- Phone
- (843) 448-6516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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