Doctor Name: | MRS. SHIRLEY ALIECE COOPER |
NPI Number: | 1427366996 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA-SP-CCC |
License Number: | 4991 |
Business Practice Address: | 13931 Tyler St Sylmar, CA - 913421632 |
Business Phone Number: | 8183677970 |
Business Fax Number: | |
Mailing Address: | 13931 Tyler St, SYLMAR |
State: | CA |
Postal Code: | 913421632 |
Phone Number: | 8183677970 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2010 |
NPI Last Update Date: | 09/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4991 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |