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NPI Code Detail

MEDICARE: MS. LINDSEY LEE COOPER SLP

MEDICARE:  MS. LINDSEY LEE COOPER  SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistLL60288430WA

General Provider Information

NPI Number : 1356526206
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDSEY LEE COOPER SLP
Provider Business Mailing Address
First Line : 1407 BOALCH AVE NW
Second Line :
City : NORTH BEND
State : WA
Zip : 98045-7994
Country : US
Telephone Number : 425-888-3347
Fax Number : 425-888-3348
Provider Business Practice Location Address
First Line : 209 MAIN AVE S
Second Line :
City : NORTH BEND
State : WA
Zip : 98045-8139
Country : US
Telephone Number : 425-888-3347
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2008
Last Update Date : 10/24/2019

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Directions to “ MS. LINDSEY LEE COOPER SLP” Practice Location

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