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NPI Code Detail

MEDICARE: LEANNE COOPER

MEDICARE: LEANNE COOPER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083074058
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEANNE COOPER
Provider Business Mailing Address
First Line : 85 CHAPEL ST
Second Line :
City : NEWTON
State : MA
Zip : 02458-1065
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 85 CHAPEL ST
Second Line :
City : NEWTON
State : MA
Zip : 02458-1065
Country : US
Telephone Number : 508-363-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2016
Last Update Date : 10/20/2021

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Directions to “ LEANNE COOPER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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