| Doctor Name: | MRS. JUDITH WYNN COOKE |
| NPI Number: | 1093932139 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | SL001477L |
| Business Practice Address: | 555 2nd Ave 204d Collegeville, PA - 194263600 |
| Business Phone Number: | 6104541177 |
| Business Fax Number: | 6104540416 |
| Mailing Address: | 28 Stable Dr, ELVERSON |
| State: | PA |
| Postal Code: | 195209234 |
| Phone Number: | 6109131444 |
| Fax Number: | 6104540416 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL001477L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |