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Individual

KATHY GAYMAN COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
875 BLUEBERRY LN, CHAMBERSBURG, PA 17202-9503
(717) 263-7357
Mailing address
875 BLUEBERRY LN, CHAMBERSBURG, PA 17202-9503
(717) 263-7357

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL003247L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019319040003
PA
Enumeration date
07/10/2008
Last updated
07/10/2008
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