Cooper, Paula K

Cooper, Paula K is an individual health care provider with primary practice located at 345 Milwaukee Ave , Burlington WI 53105-1228. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Cooper, Paula K can be contacted via phone (262) 763-9191.

Contact Information

Primary practice address
345 Milwaukee Ave Burlington WI 53105-1228
Phone: (262) 763-9191
Fax: (262) 763-7767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / School 103TS0200X 1859453 Illinois
Behavioral Health & Social Service Providers / School 103TS0200X 867-058 Wisconsin

Profile Details

NPI number 1568502532
LBN Legal business name Cooper, Paula K
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Oct 6th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568502532 NPPES
Wisconsin MEDICAID 43598000

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