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Individual

DR. PAULA K COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
345 MILWAUKEE AVE, BURLINGTON, WI 53105-1228
(262) 763-9191
(262) 763-7767
Mailing address
345 MILWAUKEE AVE, BURLINGTON, WI 53105-1228
(262) 763-9191
(262) 763-7767

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TS0200X
School Psychologist
1859453
IL
103TS0200X
School Psychologist
867-058
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43598000
WI
Enumeration date
02/07/2007
Last updated
10/06/2011
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