Provider Demographics
NPI:1750322095
Name:COONEY, NED LYHNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:NED
Middle Name:LYHNE
Last Name:COONEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 WILLARD AVE
Mailing Address - Street 2:VA CONNECTICUT HEALTHCARE SYSTEM /116A-3
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-2631
Mailing Address - Country:US
Mailing Address - Phone:860-594-6339
Mailing Address - Fax:860-667-6842
Practice Address - Street 1:555 WILLARD AVE
Practice Address - Street 2:VA CONNECTICUT HEALTHCARE SYSTEM /116A-3
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-2631
Practice Address - Country:US
Practice Address - Phone:860-594-6339
Practice Address - Fax:860-667-6842
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001000103TA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)