Cooper, Traci

Cooper, Traci is an individual health care provider with primary practice located at 2410 Pine St , Arkadelphia AR 71923-4335. 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, Traci can be contacted via phone (870) 245-2210.

Contact Information

Primary practice address
2410 Pine St Arkadelphia AR 71923-4335
Fax:
Website:

Health care specialties

Profile Details

NPI number 1023268778
LBN Legal business name Cooper, Traci
Credentials MS, CF-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2008
Last updated Jan 30th, 2015 - about 11 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 1023268778 NPPES
Arkansas MEDICAID MC016112

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