Doctor Name: | MRS. COURTNEY EVELYN COPPAGE |
NPI Number: | 1639510878 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS SLP |
License Number: | 2202006994 |
Business Practice Address: | 3500 Meekins Dr Fredericksburg, VA - 224074894 |
Business Phone Number: | 5407853600 |
Business Fax Number: | |
Mailing Address: | 601 Meadowbrook Dr, CULPEPER |
State: | VA |
Postal Code: | 227013949 |
Phone Number: | 5719212589 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2013 |
NPI Last Update Date: | 07/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202006994 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |