Provider Demographics
NPI:1952149957
Name:WHITECOOPER, FLORA M (PHD)
Entity type:Individual
Prefix:
First Name:FLORA
Middle Name:M
Last Name:WHITECOOPER
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 1:290 BEACON ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-1149
Mailing Address - Country:US
Mailing Address - Phone:510-816-9740
Mailing Address - Fax:
Practice Address - Street 1:625 MOUNT AUBURN ST STE 205A
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-4530
Practice Address - Country:US
Practice Address - Phone:781-551-0999
Practice Address - Fax:781-551-3396
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner