Individual
MACKENZIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1102 ROSE HILL DR, CHARLOTTESVILLE, VA 22903-5128
(434) 979-8628
(434) 979-8536
Mailing address
1021 PRESTON AVE APT A, CHARLOTTESVILLE, VA 22903-2159
(814) 384-0083
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204001137
VA
Other
Enumeration date
05/16/2023
Last updated
06/24/2024
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