Shelby Kate Cooper
Individual provider Active NPI Speech-Language Pathologist · Hermann, MO
NPI 1780162933 · NPPES record last updated Jul 31, 2018
Key facts
- NPI
- 1780162933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2017003651 (MO)
- Practice address
- 328 W 7TH St
Hermann, MO 65041-1216 - Phone
- (573) 486-3197
- Fax
- (573) 486-3244
- NPI assigned
- Jul 31, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017003651 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2017003651 | MO | Yes |
Addresses
Primary practice location
328 W 7TH St
Hermann, MO 65041-1216
Mailing address
170 Blue Pride Dr
Hermann, MO 65041-1593
Phone (573) 486-3197
Other practice location 1
176 Bearcat Xing
Hermann, MO 65041-1594
Phone (573) 486-2116 ext. 1110
Other providers in Hermann, MO
- Laurel L Baumstark
- Jennifer L Blair
- Barbara Dale Carr
- Emmogene Lee Chepely
- Steven Ciegel
- Gracie Lynn Copeland
- Elizabeth M Crawford
- Curators of the University of Missouri
- Dale F. Dierberg, MD
- Dale F Dierberg
All providers in Hermann, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.