Stephanie Marie Cooper, MS CCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

100078 Issued in TX

Practice address

18230 FM 1488 Rd # 328
Magnolia, TX 77354-4528

Phone

(936) 689-3874

Fax

(830) 460-2685

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1174749048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26702 STAGECOACH CROSSING DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773552198",
            "telephone_number": "832-934-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18230 FM 1488 RD # 328",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544528",
            "telephone_number": "936-689-3874",
            "fax_number": "830-460-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS CCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "87716T",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147146802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Compass Point Emergency Physicians PLLC
• Connecting Minds Counseling & Play Therapy Center PLLC
• Christopher Conner
• Cooper Advanced Practice
• Cooper Speech and Language Center PLLC
• Dillon Copeland, D.D.S.
• Monica Cortes
• Tammy J Cover, LPC
• Elijah Graham Craig
• Lindsey Danielle Craig

• Speech-Language Pathologist in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.