Provider Demographics
NPI:1588941348
Name:COOPER, BARBARA (BARBARA COOPER)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:COOPER
Suffix:
Gender:F
Credentials:BARBARA COOPER
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:SASS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BARBARA COOPER
Mailing Address - Street 1:46 ROSE LN
Mailing Address - Street 2:
Mailing Address - City:EAST ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11518-2129
Mailing Address - Country:US
Mailing Address - Phone:516-241-6398
Mailing Address - Fax:
Practice Address - Street 1:46 ROSE LN
Practice Address - Street 2:
Practice Address - City:EAST ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11518-2129
Practice Address - Country:US
Practice Address - Phone:516-241-6398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006362-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist