MEDICARE: ASHLEY J 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
1	235Z00000X	Speech-Language Pathologist	SA22562	FL
2	235Z00000X	Speech-Language Pathologist	COND2010164	OH

General Provider Information

NPI Number	:	1548580202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY J COOPER SLP

Provider Business Mailing Address
First Line	:	2255 PAR LN APT 1008
Second Line	:
City	:	WILLOUGHBY HILLS
State	:	OH
Zip	:	44094-2941
Country	:	US
Telephone Number	:	330-647-2525
Fax Number	:

Provider Business Practice Location Address
First Line	:	14900 PRIVATE DR
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44112-3470
Country	:	US
Telephone Number	:	216-851-4268
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2010
Last Update Date	:	06/25/2024

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Directions to “ ASHLEY J COOPER SLP” Practice Location

Language	Start Address	Practice Location

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