Individual
MS. DONNA DANNETTE COPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,CCC-SLP
Contact information
Practice address
1607 S MUSKOGEE AVE STE B, TAHLEQUAH, OK 74464-5440
(918) 696-1529
Mailing address
RR 2 BOX 1155, STILWELL, OK 74960-9641
(918) 696-1529
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2176
AR
235Z00000X
Speech-Language Pathologist
Primary
3065
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2176
—
AR
05
—
3065
—
OK
Enumeration date
09/05/2008
Last updated
06/27/2013
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