Organization · Type 2 NPI
Kimberly Cooper, Psyd PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Bangor, ME
NPI number
1750059564
Active
Practice location
73 Hammond St # 1811
Bangor, ME 04401-4957
Mailing address
PO Box 1811
Bangor, ME 04402-1811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1750059564
Kimberly Cooper, Psyd PLLC's National Provider Identifier is 1750059564, issued on Sep 6, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Bangor, ME. The record was last updated on Sep 6, 2021.