Thomas M Cooper, PHD

NPI #1154674109 in Portland, Maine

Provider Information

NPI Number: 1154674109
Entity Type: Individual
Name: Thomas M Cooper, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Oct 16, 2012
Last Updated: Feb 18, 2019

Practice Location

Address: 251 WOODFORD ST
City: Portland
State: Maine
ZIP Code: 04103-5617
Phone: (207) 253-9435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X
Psychologist	103T00000X	Primary

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