Anna Grace Cooper, PSY.D.
Individual provider Active NPI Clinical Psychologist · Birmingham, AL
NPI 1689259608 · NPPES record last updated Mar 11, 2021
Key facts
- NPI
- 1689259608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2213 (AL)
- Practice address
- 700 19TH St S
Birmingham, AL 35233-1927 - Phone
- (205) 933-8101
- NPI assigned
- Mar 11, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2213 | AL | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2213 | AL | Yes |
Addresses
Primary practice location
700 19TH St S
Birmingham, AL 35233-1927
Mailing address
3141 Reserve CT
Vestavia, AL 35243-2138
Phone (615) 390-3551
Other providers in Birmingham, AL
- Cooper Green Rehabilitation Services
- Cooper Green Rehabilitation Services
- Tancanekia Latrice Cooper-Prewitt
- Adrienne Cooper
- Amy Mixon Cooper
- Ashlee Craig Cooper
- Benjamin Edward Cooper
- Carter Cooper
- Daniel Patrick Cooper
- David Micah Cooper
All providers in Birmingham, AL · Clinical Psychologist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2021. 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.