Individual
DR. ROBIN KING COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
241 CLEVELAND AVE S, SUITE P, SAINT PAUL, MN 55105-1208
(651) 690-1810
(651) 699-9616
Mailing address
241 CLEVELAND AVE S, SUITE P, SAINT PAUL, MN 55105-1208
(651) 690-1810
(651) 699-9616
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP1212
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
385748400
MEDICAL ASSISTANCE
MN
01
—
59680CO
BCBS
MN
Enumeration date
02/01/2007
Last updated
11/29/2012
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