Cooper Lucido, Stacy L.

Cooper Lucido, Stacy L. is an individual health care provider with primary practice located at 500 Cummings Ctr Suite 3850, Beverly MA 01915-6142. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Cooper Lucido, Stacy L. can be contacted via phone (978) 232-0332.

Contact Information

Primary practice address
500 Cummings Ctr Suite 3850 Beverly MA 01915-6142
Phone: (978) 232-0332
Fax: (978) 232-1103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4438 Massachusetts

Profile Details

NPI number 1245383983
LBN Legal business name Cooper Lucido, Stacy L.
Credentials M.ED. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 31st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245383983 NPPES
Massachusetts MEDICAID 0709379
Massachusetts Other SP0184

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