Charles Marcus Cooper in Johnson City - Psychologist
Charles Marcus Cooper - NPI 1699703835
Charles Marcus Cooper is a Psychologist in Johnson City, Tennessee. Charles Marcus Cooper practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Charles Marcus Cooper is 1699703835. The last update date is 2007-07-08.
Charles Marcus Cooper's current location address is 101 Med Tech Pkwy, Johnson City, Tennessee. You can contact this provider via phone number 4232326120. The mailing address for Charles Marcus Cooper is 101 Med Tech Pkwy, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Marcus Cooper |
|---|---|
| Address | 101 Med Tech Pkwy, Johnson City, Tennessee |
| Phone Number | 4232326120 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1699703835 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 101 Med Tech Pkwy |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376044007 |
| Phone Number | 4232326120 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1084 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3584891 | TN | -- | |
| 7241087 | TN | AETNA | |
| 186690 | TN | ANTHEM (KPT) | |
| TN0107 | TN | JOHN DEERE | |
| 14722 | TN | CARITEN | |
| 186693 | TN | ANTHEM JC | |
| 4010675 | TN | BLUE CROSS (MENTAL HEALTH | |
| 4104023 | TN | BLUE CROSS (MEDICAL) |
Post Comment/ Review Below
What is the Charles Marcus Cooper's 1699703835?
The Charles Marcus Cooper's NPI (National Provider Identifier) Number is 1699703835. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Charles Marcus Cooper's physical address?
The Charles Marcus Cooper is physically located at 101 Med Tech Pkwy, in the city of Johnson City, TN, with the postal code 376044007.
What is Charles Marcus Cooper's area of expertise and its corresponding taxonomy classification?
The Charles Marcus Cooper's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Charles Marcus Cooper receive its 1699703835 assignment from the Centers for Medicare & Medicaid Services?
The Charles Marcus Cooper was assigned its 1699703835 on 2006-06-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Charles Marcus Cooper most recently updated or revised?
The information pertaining to Charles Marcus Cooper, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.