Doctor Name: | MISS DYAN ALLISON COOPER |
NPI Number: | 1700914488 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. - CCC |
License Number: | SA 7257 |
Business Practice Address: | 4988 N University Dr Lauderhill, FL - 333515748 |
Business Phone Number: | 9547467230 |
Business Fax Number: | |
Mailing Address: | 202 Lake Pointe Dr, Unit #206 OAKLAND PARK |
State: | FL |
Postal Code: | 333097707 |
Phone Number: | 7542247647 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 7257 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |