Elizabeth Cooper, LPA
Individual provider Active NPI Psychologist · Mebane, NC
NPI 1669912739 · NPPES record last updated Mar 8, 2017
Key facts
- NPI
- 1669912739
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 4075 (NC)
- Practice address
- 201 Green Pasture Rd
Mebane, NC 27302-8427 - Phone
- (252) 349-8307
- NPI assigned
- Mar 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4075 | NC | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4075 | NC | Yes |
Addresses
Primary practice location
201 Green Pasture Rd
Mebane, NC 27302-8427
Mailing address
201 Green Pasture Rd
Mebane, NC 27302-8427
Other providers in Mebane, NC
- Michael Isaiah Cole
- Rodney Lavon Coleman
- Carol Ann Collins
- Compass Healthcare and Rehab Hawfields, Inc
- Conny Wulff, MSW, LCSW, PLLC
- Richard E. Cooper
- Tara Lynn Corbett
- Shannon Hiatt Coward
- Kristina Marie Cronin
- CVS Pharmacy
All providers in Mebane, NC · Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.