NPI 1902297252 · live from the CMS NPI Registry
Daryl Cooley, M.S.
Psychologist, Clinical in Little Rock, AR. National Provider Identifier 1902297252, active.
NPI record
| NPI | 1902297252 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 4301 W Markham St # 654, Little Rock, AR 72205 |
| Practice phone | 857-264-0965 |
| Mailing address | 715 N 2nd St, Nashville, TN 37207 |
| Enumerated | February 9, 2015 |
| Last updated | June 3, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Psychologist, Clinical primary | 103TC0700X | 202174 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.