Doctor Name: | THERESE JENNIE COOPER |
NPI Number: | 1710256219 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH THERAPY |
License Number: | SLP 7259 |
Business Practice Address: | 5050 Avenida Encinas Suite# 250 Carlsbad, CA - 920084381 |
Business Phone Number: | 7607295433 |
Business Fax Number: | 7606215680 |
Mailing Address: | 5050 Avenida Encinas, Suite# 250 CARLSBAD |
State: | CA |
Postal Code: | 920084381 |
Phone Number: | 7607295433 |
Fax Number: | 7606215680 |
NPI Enumeration Date: | 12/29/2011 |
NPI Last Update Date: | 12/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP 7259 |
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 |