Healthcare Provider Details

I. General information

NPI: 1891427944
Provider Name (Legal Business Name): EMILY COOPER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2022
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3180 PROFESSIONAL PLZ STE 101
GERMANTOWN TN
38138-1534
US

IV. Provider business mailing address

3180 PROFESSIONAL PLZ STE 101
GERMANTOWN TN
38138-1534
US

V. Phone/Fax

Practice location:
  • Phone: 901-328-2110
  • Fax: 901-590-3999
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: