Cooley, Daryl

Cooley, Daryl is an sole proprietor health care provider with primary practice located at 4301 W Markham St # 654 , Little Rock AR 72205-7101. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cooley, Daryl can be contacted via phone (857) 264-0965.

Contact Information

Primary practice address
4301 W Markham St # 654 Little Rock AR 72205-7101
Phone: (857) 264-0965
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 202174 Arkansas

Profile Details

NPI number 1902297252
LBN Legal business name Cooley, Daryl
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2015
Last updated Jun 3rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902297252 NPPES
Massachusetts MEDICAID 1307576
Massachusetts Other M18463
Massachusetts MEDICAID 1303295

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