Cooper, Jacquelyn

Cooper, Jacquelyn is an sole proprietor health care provider with primary practice located at 14041 Icot Blvd , Clearwater FL 33760-3702. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Cooper, Jacquelyn can be contacted via phone (727) 479-1800.

Contact Information

Primary practice address
14041 Icot Blvd Clearwater FL 33760-3702
Phone: (727) 479-1800
Fax: (727) 479-1248
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1558570507
LBN Legal business name Cooper, Jacquelyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Jul 9th, 2007 - about 18 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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