Individual
JESSICA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
260 HOSPITAL DR, S WILLIAMSON, KY 41503-4072
(606) 237-1460
(606) 237-1461
Mailing address
260 HOSPITAL DR, S WILLIAMSON, KY 41503-4072
(606) 237-1460
(606) 237-1461
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPLPA00193914
KY
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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