Provider Demographics
NPI:1396873758
Name:COPE, DAVID T (AUD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:T
Last Name:COPE
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 ROSS DRIVE
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37801
Mailing Address - Country:US
Mailing Address - Phone:865-984-7750
Mailing Address - Fax:865-984-7211
Practice Address - Street 1:821 ROSS DRIVE
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37801
Practice Address - Country:US
Practice Address - Phone:865-984-7750
Practice Address - Fax:865-984-7211
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA0000001211231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00103118OtherPALMETTO GBA PROVIDER ID
TN3192786Medicaid
TN4073317OtherBCBS PROVIDER ID
TN2397349OtherCIGNA PROVIDER ID
TN4073317OtherBLUE CARE PROVIDER ID
TN4073317OtherBCBS PROVIDER ID