Kristina M Cooper, Ph.D.
Psychologist, Clinical in Phoenix, AZ. Individual provider (NPI-1).
NPI number1346200219
StatusActive
Last updated in NPPESOct 6, 2008
Details
- NPI
- 1346200219
- Entity type
- Individual (NPI-1)
- Name
- Kristina M Cooper
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2006
- Last updated
- Oct 6, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1072 | AZ | Yes |
Practice location
1300 N 12th StSuite 610
Phoenix, AZ 85006-2848
Phone 602-239-5000
Mailing address
1441 N 12th StPhoenix, AZ 85006-2837
Phone 602-495-4577 · Fax 602-417-3549
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