Provider Demographics
NPI:1982825451
Name:COOP, KAREN MICHELLE (PHD)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MICHELLE
Last Name:COOP
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 SANDERS FERRY RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3662
Mailing Address - Country:US
Mailing Address - Phone:615-822-0211
Mailing Address - Fax:615-822-8306
Practice Address - Street 1:131 SANDERS FERRY RD
Practice Address - Street 2:SUITE 203
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3662
Practice Address - Country:US
Practice Address - Phone:615-822-0211
Practice Address - Fax:615-822-8306
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN920103TC2200X, 103TH0100X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool