Active NPIIndividual provider

Mallory C Cooper

Speech-Language Pathologist, in Auburn, Maine

NPI Number1033800701
Practice location
589 Minot Ave, Auburn, ME 04210-4032
Fax
207-777-1205
Last updated
May 16, 2023

Mallory Christine Cooper is a Speech-Language Pathologist, based in Auburn, ME. Mallory Christine Cooper practices in Auburn, ME. The NPI Number for Mallory Christine Cooper is 1033800701 and holds a License No. SP3893 (ME). The current practice location address for Mallory Christine Cooper is 589 Minot Ave, Auburn, ME 04210-4032 and can be reached out via phone at 207-443-3341 and via fax at 207-777-1205.

Provider Profile Details

NPI Number
1033800701
Provider Name
Mallory Christine Cooper
Provider Entity Type
Individual
Gender
Female
Address
589 Minot Ave, Auburn, ME 04210-4032
Phone Number
207-443-3341
Fax Number
207-777-1205
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
May 15, 2023
Last Update Date
May 16, 2023
Certification Date
May 16, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
589 Minot Ave
Auburn, ME 04210-4032
City
Auburn
State
Maine
Zip
04210-4032
Phone Number
207-443-3341
Fax Number
207-777-1205
Auburn, ME 04210Get directions →

Provider Business Mailing Address Details

Address
905 1/2 N Randolph St
Champaign, IL 61820-2938
City
Champaign
State
IL
Zip
61820-2938
Phone Number
217-620-2950

License Information

License State (1)
IL
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
SP3893
License State (2)
ME
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mallory C Cooper?

The NPI number of Mallory C Cooper is 1033800701. It was assigned on May 15, 2023 and is currently active in the NPPES registry.

What is the specialty of Mallory C Cooper?

Mallory C Cooper is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in ME under license number SP3893.

Where does Mallory C Cooper practice?

The practice location is 589 Minot Ave, Auburn, ME 04210-4032. The office can be reached at 207-443-3341 (phone) or 207-777-1205 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033800701 directly on the NPPES registry website.

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