| Ms Michelle Latrice Cooper, MA CCC-SLP | |
|
318 Bluestem Dr, Elgin, SC 29045-2103 | |
| (803) 928-0369 | |
| (866) 524-1024 |
| Full Name | Ms Michelle Latrice Cooper |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 318 Bluestem Dr, Elgin, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407924459 | NPI | - | NPPES |
| SA0518 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 3368 (South Carolina) | Primary |
| Provider Name | Carolina Speech And Language Associates Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194059295 PECOS PAC ID: 8426291345 Enrollment ID: O20130826000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Michelle Latrice Cooper, MA CCC-SLP Po Box 290115, Columbia, SC 29229-0002 Ph: (803) 928-0369 | Ms Michelle Latrice Cooper, MA CCC-SLP 318 Bluestem Dr, Elgin, SC 29045-2103 Ph: (803) 928-0369 |
Camisha Hayes Williams, M.S.P., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 50 Aberdeen Way, Elgin, SC 29045 Phone: 803-408-0707 | |
Ms. Fleurette Kenonta Washington, M.A. , CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 536 Silver Spoon Ln, Elgin, SC 29045 Phone: 843-425-9900 | |
Just Flow Speech Pathology Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 536 Silver Spoon Ln, Elgin, SC 29045 Phone: 843-425-9900 | |
Sarah Jones Disasa, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 203 Parrish Walk, Elgin, SC 29045 Phone: 803-865-7499 | |
Nancy Blonaisz Price, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18 Club Ridge Ct, Elgin, SC 29045 Phone: 803-736-9917 | |
Ms. Ashli B. Heath, MCD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 42 Lone Oak Ct, Elgin, SC 29045 Phone: 803-397-0735 | |
Emily Rebecca Roberts, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 736 Jack Russell Ct, Elgin, SC 29045 Phone: 803-354-1143 |