Wade Cooper, Dianne K

Wade Cooper, Dianne K is an individual health care provider with primary practice located at 17180 Royal Palm Blvd Suite 1, Weston FL 33326-2394. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Wade Cooper, Dianne K can be contacted via phone (954) 389-1414.

Contact Information

Primary practice address
17180 Royal Palm Blvd Suite 1 Weston FL 33326-2394
Phone: (954) 389-1414
Fax: (954) 389-4201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY99 Florida

Profile Details

NPI number 1720250715
LBN Legal business name Wade Cooper, Dianne K
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2008
Last updated Apr 5th, 2010 - about 16 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 1720250715 NPPES
Florida MEDICAID 001029200

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