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NPI Code Detail

MEDICARE: JENNIFER COOPER

MEDICARE: JENNIFER COOPER
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 PathologistLL60586518WA

General Provider Information

NPI Number : 1740650357
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER COOPER
Provider Business Mailing Address
First Line : 16120 NE 8TH ST
Second Line :
City : BELLEVUE
State : WA
Zip : 98008-3937
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16120 NE 8TH ST
Second Line :
City : BELLEVUE
State : WA
Zip : 98008-3937
Country : US
Telephone Number : 425-747-4004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2015
Last Update Date : 05/25/2026

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Directions to “ JENNIFER COOPER ” Practice Location

Language Start Address Practice Location
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