MEDICARE: ALAINA 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
1	235Z00000X	Speech-Language Pathologist	20242929	OH

General Provider Information

NPI Number	:	1982439857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAINA COOPER

Provider Business Mailing Address
First Line	:	934 PACKARD DR
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44320-2840
Country	:	US
Telephone Number	:	724-993-2299
Fax Number	:

Provider Business Practice Location Address
First Line	:	4108 S CLEVELAND MASSILLON RD
Second Line	:
City	:	BARBERTON
State	:	OH
Zip	:	44203-5633
Country	:	US
Telephone Number	:	330-867-2240
Fax Number	:

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

Provider Enumeration Date	:	09/03/2024
Last Update Date	:	09/04/2024

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Directions to “ ALAINA COOPER ” Practice Location

Language	Start Address	Practice Location

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