Provider Demographics
NPI:1386143758
Name:COOPER, SARA E (HIS)
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:E
Last Name:COOPER
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7316 MARKET ST STE 5
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-9452
Mailing Address - Country:US
Mailing Address - Phone:910-622-7977
Mailing Address - Fax:910-999-0616
Practice Address - Street 1:7316 MARKET ST STE 5
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-9452
Practice Address - Country:US
Practice Address - Phone:910-622-7977
Practice Address - Fax:910-999-0616
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-12
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1539237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist