Individual
STEPHANIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1119 N WISCONSIN ST, PORT WASHINGTON, WI 53074
(262) 284-5892
Mailing address
307 W BAYFIELD RD, FOX POINT, WI 53217-3402
(630) 991-7367
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4042-154
WI
235Z00000X
Speech-Language Pathologist
SL012711
PA
Other
Enumeration date
04/13/2017
Last updated
12/08/2021
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