Individual
JOHN F. COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, LP
Contact information
Practice address
200 E TRAVELERS TRL STE 225, BURNSVILLE, MN 55337-4191
(952) 707-1819
(952) 707-1810
Mailing address
200 E TRAVELERS TRL STE 225, BURNSVILLE, MN 55337-4191
(952) 707-1819
(952) 707-1810
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2334
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30347
HEALTHPARTNERS GROUP PIN
MN
01
—
45310CO
BCBS GROUP PIN
MN
01
—
6100890
UBH/MEDICA PIN
MN
01
—
HP14993
HEALTHPARTNERS IND. PIN
MN
01
—
OE011CO
BCBS IND. PIN
MN
Enumeration date
08/14/2006
Last updated
07/09/2007
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