Doctor Name: | MS. ANGELA M COOK |
NPI Number: | 1013178003 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | SP.10209 |
Business Practice Address: | 1425 Village Square Blvd Suite 3 Tallahassee, FL - 323121271 |
Business Phone Number: | 8504314445 |
Business Fax Number: | 8504316231 |
Mailing Address: | 1425 Village Square Blvd, Suite 3 TALLAHASSEE |
State: | FL |
Postal Code: | 323121271 |
Phone Number: | 8504314445 |
Fax Number: | 8504316231 |
NPI Enumeration Date: | 06/23/2008 |
NPI Last Update Date: | 03/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP.10209 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |