Doctor Name: | TARA NICOLE COX |
NPI Number: | 1073637971 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 12415 Meadow Ln Unit 1 Blue Island, IL - 604065227 |
Business Phone Number: | 7083859885 |
Business Fax Number: | |
Mailing Address: | 12415 Meadow Ln, Unit 1 BLUE ISLAND |
State: | IL |
Postal Code: | 604065227 |
Phone Number: | 7083859885 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |