Basic Information
| Provider Information | |||||||||
| NPI: | 1609155621 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COONEY | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHD, DIPCLPS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 425 GEORGE ST | ||||||||
| Address2: | YALE-NEW HAVEN PSYCHIATRIC HOSPITAL | ||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065115410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2036883182 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 425 GEORGE ST | ||||||||
| Address2: | YALE-NEW HAVEN PSYCHIATRIC HOSPITAL | ||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065115410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2036883182 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2011 | ||||||||
| LastUpdateDate: | 08/08/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 003130 | CT | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.