Cooper, Christina Marie

Cooper, Christina Marie is an individual health care provider with primary practice located at 611 S Grant St , Fitzgerald GA 31750-3377. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Cooper, Christina Marie can be contacted via phone (912) 331-0846.

Contact Information

Primary practice address
611 S Grant St Fitzgerald GA 31750-3377
Phone: (912) 331-0846
Fax: (678) 792-4894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP009947 Georgia

Profile Details

NPI number 1366967721
LBN Legal business name Cooper, Christina Marie
Credentials CCC,SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366967721 NPPES
Georgia Other PCET002459 STATE LICENSE
Georgia Other 14149731 STATE LICENSE
Georgia Other SLP009947 STATE LICENSE

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