| Doctor Name: | MICHELLE L KOPF |
| NPI Number: | 1255764213 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | SL011505 |
| Business Practice Address: | 30 Hope Dr Ste 1500 Mc Ec130 Hershey, PA - 170332036 |
| Business Phone Number: | 7175318070 |
| Business Fax Number: | 7175310138 |
| Mailing Address: | 500 University Dr, Mc A410 HERSHEY |
| State: | PA |
| Postal Code: | 170332360 |
| Phone Number: | 8002431455 |
| Fax Number: | 7175317269 |
| NPI Enumeration Date: | 08/14/2013 |
| NPI Last Update Date: | 08/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL011505 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |