Organization
KIMBERLY COOPER, PSYD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY J COOPER PSYD (PSYCHOLOGIST)
(207) 762-7282
Entity
Organization
Contact information
Practice address
73 HAMMOND ST # 1811, BANGOR, ME 04401-4957
(207) 762-7282
Mailing address
PO BOX 1811, BANGOR, ME 04402-1811
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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