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KIMBERLY COOPER PSYD PLLC NPI 1750059564


NPI Information

NPI: 1750059564
Provider Name: KIMBERLY COOPER, PSYD PLLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
73 HAMMOND ST # 1811
BANGOR, ME
ZIP 04401
Phone: (207) 762-7282
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KIMBERLY COOPER, PSYD PLLC is a mental health (including community mental health center) clinic center in Bangor, ME. KIMBERLY COOPER, PSYD PLLC NPI is 1750059564. The provider is registered as an organization entity type.

The provider's business location address is:

73 HAMMOND ST # 1811
BANGOR, ME
ZIP 04401-957
Phone: (207) 762-7282

The provider's authorized official is Kimberly J Cooper .
The authorized official title is Psychologist and has the following contact phone number (207) 762-7282.

The enumeration date for this NPI number is 9/6/2021 and was last updated on 9/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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