Provider Demographics
NPI:1851537401
Name:COOPER, ABBEY BAILEY (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ABBEY
Middle Name:BAILEY
Last Name:COOPER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 E BELLEVIEW AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6010
Mailing Address - Country:US
Mailing Address - Phone:303-770-3300
Mailing Address - Fax:303-804-0500
Practice Address - Street 1:7901 E BELLEVIEW AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111-6010
Practice Address - Country:US
Practice Address - Phone:303-770-3300
Practice Address - Fax:303-804-0500
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-05
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1366688830OtherNPI- ENTITY 2 CORPORATION