Cooper, Robert Porter

Cooper, Robert Porter is an sole proprietor health care provider with primary practice located at 533 Peters Ave Suite 202, Pleasanton CA 94566-6676. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cooper, Robert Porter can be contacted via phone (925) 830-3911.

Contact Information

Primary practice address
533 Peters Ave Suite 202 Pleasanton CA 94566-6676
Phone: (925) 830-3911
Fax: (925) 399-5552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY11145 California

Profile Details

NPI number 1407956196
LBN Legal business name Cooper, Robert Porter
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2006
Last updated Apr 1st, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407956196 NPPES
California Other PSY11145 BLUE CROSS OF CALIFORNIA

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