Individual provider · Type 1 NPI
Tracy Cooper
Speech-Language Assistant · Kingstree, SC
NPI number
1407371586
Active
Practice location
1253 Gausetown Rd
Kingstree, SC 29556-7491
Mailing address
1681 Blakely Rd
Salters, SC 29590-3437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 3039 (SC) |
Speech-Language Assistant: Definition to come...
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About NPI 1407371586
Tracy Cooper's National Provider Identifier is 1407371586, issued on Aug 9, 2017. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Kingstree, SC. The record was last updated on Aug 9, 2017.