Organization
COOPER SPEECH PATHOLOGY CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA DE COSTA COOPER (SPEECH PATHOLOGIST/PRESIDENT)
(510) 862-2413
Entity
Organization
Contact information
Practice address
21014 SHERMAN DR, CASTRO VALLEY, CA 94552-5351
(510) 862-2413
Mailing address
21014 SHERMAN DR, CASTRO VALLEY, CA 94552-5351
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
05/04/2022
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