Nathaniel John Cooney, PH.D.
Individual provider Active NPI Clinical Psychologist · North Little Rock, AR
NPI 1699178137 · NPPES record last updated Jul 25, 2016
Key facts
- NPI
- 1699178137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 16-17P (AR)
- Practice address
- 2200 Fort Roots Dr
North Little Rock, AR 72114-1709 - Phone
- (501) 257-1000
- NPI assigned
- Sep 29, 2014
- Sex
- Male
- 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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16-17P | AR | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 16-17P | AR | Yes |
Addresses
Primary practice location
2200 Fort Roots Dr
North Little Rock, AR 72114-1709
Mailing address
2200 Fort Roots Dr
North Little Rock, AR 72114-1709
Phone (501) 257-1000
Other providers in North Little Rock, AR
- Brad M Cook
- Carissa Amber Cook
- Danny Remel Cook
- Timothy R Cook
- Yolanda Lynn Cook
- Courtney Cooper
- Ty Brendan Copeland
- Makayla Copus
- Mary L Corbitt
- Abbie Elizabeth Corder
All providers in North Little Rock, AR · Clinical Psychologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2016. 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.