Healthcare Provider Details

I. General information

NPI: 1982439857
Provider Name (Legal Business Name): ALAINA COOPER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2024
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4108 S CLEVELAND MASSILLON RD
BARBERTON OH
44203-5633
US

IV. Provider business mailing address

934 PACKARD DR
AKRON OH
44320-2840
US

V. Phone/Fax

Practice location:
  • Phone: 330-867-2240
  • Fax:
Mailing address:
  • Phone: 724-993-2299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number20242929
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: