Individual
JANE ELIZABETH DEWEESE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5271 GETWELL RD STE A, SOUTHAVEN, MS 38672-9608
(662) 349-3512
Mailing address
1968 NELSON AVE, MEMPHIS, TN 38104-5418
(601) 416-7717
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3897
MS
Other
Enumeration date
08/29/2014
Last updated
04/20/2021
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