Provider Demographics
NPI:1528014255
Name:COOPER-FLEMING, ROBIN BETH (PSYD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:BETH
Last Name:COOPER-FLEMING
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 HOLOHAN DR
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-2012
Mailing Address - Country:US
Mailing Address - Phone:609-275-4645
Mailing Address - Fax:609-275-4399
Practice Address - Street 1:2737 PRINCETON PIKE
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-3220
Practice Address - Country:US
Practice Address - Phone:609-883-2577
Practice Address - Fax:609-275-4399
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00327700103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ097546Medicare ID - Type Unspecified