Individual
MRS. ERIN KATHLEEN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-SLP
Contact information
Practice address
1257 ROSEMONT RD, VIRGINIA BEACH, VA 23453-2119
(757) 648-3600
Mailing address
1113 TREEFERN DR, VIRGINIA BEACH, VA 23451-6605
(757) 450-9201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000017
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2203000017
DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
03/27/2018
Last updated
03/27/2018
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