Provider Demographics
NPI:1821281098
Name:COOPER, JOYCELYN PATRICE (MS,CTRS)
Entity Type:Individual
Prefix:
First Name:JOYCELYN
Middle Name:PATRICE
Last Name:COOPER
Suffix:
Gender:F
Credentials:MS,CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9245 CEDAR GLEN DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70811-2304
Mailing Address - Country:US
Mailing Address - Phone:225-357-8145
Mailing Address - Fax:
Practice Address - Street 1:9245 CEDAR GLEN DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70811-2304
Practice Address - Country:US
Practice Address - Phone:225-357-8145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist