Female

Jessica Cooper

Speech-Language Assistant in Guyton, GA(View on Map)

Full Name

Jessica Cooper

NPI Number

1558047084

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/27/2023

Specialties

(Taxonomies)

Code

2355S0801X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

SLPA000457

Contact
Information

Purpose

Mailing
Location

Address

118 ROYAL OAK DR
118 ROYAL OAK DR

City

Guyton
Guyton

State

GA
GA

Postal Code

31312-5624
31312-5624

Country

US
US

Telephone Number

(912) 665-7471
(912) 665-7471

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/27/2023

Provider Address