Cooper, Kristina M
Cooper, Kristina M is an individual health care provider with primary practice located at 1300 N 12Th St Suite 610, Phoenix AZ 85006-2848. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cooper, Kristina M can be contacted via phone (602) 239-5000.Contact Information
Primary practice address
1300 N 12Th St Suite 610
Phoenix AZ 85006-2848
Phone: (602) 239-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1072 | Arizona |
Profile Details
| NPI number | 1346200219 |
|---|---|
| LBN Legal business name | Cooper, Kristina M |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Oct 6th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346200219 | NPPES |
| Arizona | MEDICAID | 176695 |
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