William Edward Cooper III

Individual provider Active NPI Counselor · Northampton, PA

NPI 1083923940 · NPPES record last updated Sep 27, 2010

Key facts

NPI
1083923940
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
PC001847 (PA)
Practice address
2030 Center St
Suite 104
Northampton, PA 18067-1321
Phone
(610) 262-6999
NPI assigned
Sep 27, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PC001847PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
C. Ryan Consulting, LLC Past Accepting new patients
Pennsylvania Assessment Consultants for Co Occurring Disorders LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC001847 PA Yes

Addresses

Primary practice location

2030 Center St
Suite 104
Northampton, PA 18067-1321

Mailing address

2030 Center St
Suite 104
Northampton, PA 18067-1321
Phone (610) 262-6999

Other providers in Northampton, PA

All providers in Northampton, PA · Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.