Individual
BETH A COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5604A VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-5681
(757) 455-5000
Mailing address
441 BEVERLY PL, VIRGINIA BEACH, VA 23452-5731
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002043
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004979907
—
VA
Enumeration date
04/12/2007
Last updated
01/13/2026
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