IndividualActive
Cassidy Cooper, D.O.
NPI 1063944007 · Psychiatry Physician · Providence, RI
Provider details
- NPI number
- 1063944007
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- H91805 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
593 Eddy Street
Potter 2
Providence, RI 02903
Phone: (401) 444-2128
Approximate (ZIP-level) locationGet directions
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Registry dates
- Enumerated
- 2017-03-29
- Last updated
- 2023-08-03
- Certified
- 2023-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.