Individual
JESSICA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
400 BELCHASE DR, MATAWAN, NJ 07747-9758
(732) 851-6947
Mailing address
33 EXETER ST, OLD BRIDGE, NJ 08857-2237
(732) 307-4537
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01105400
NJ
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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