Individual
LISA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
759 N ERICSON RD, CORDOVA, TN 38018-1492
(901) 758-3271
(901) 624-5944
Mailing address
759 N ERICSON RD, CORDOVA, TN 38018-1492
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1666
TN
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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