Individual
DANIELLE BETH COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1406 N ELLAMONT ST, BALTIMORE, MD 21216-3815
(410) 396-0579
Mailing address
9707 FINCH CT, ELLICOTT CITY, MD 21042-1758
(516) 864-9288
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06167
MD
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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