Doctor Name: | MS. STEPHANIE MARIE COOPER |
NPI Number: | 1174749048 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCCSLP |
License Number: | 100078 |
Business Practice Address: | 18230 Fm 1488 Rd # 328 Magnolia, TX - 773544528 |
Business Phone Number: | 9366893874 |
Business Fax Number: | 8304602685 |
Mailing Address: | 26702 Stagecoach Crossing Dr, MAGNOLIA |
State: | TX |
Postal Code: | 773552198 |
Phone Number: | 8329342258 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 02/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 100078 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |