| Doctor Name: | MS. CANDACE ELENA COOK |
| NPI Number: | 1740267202 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC SLP |
| License Number: | 2202004811 |
| Business Practice Address: | 2675 Court Dr Gastonia, NC - 280541478 |
| Business Phone Number: | 7048244999 |
| Business Fax Number: | 7048243999 |
| Mailing Address: | 6915 Northbury Ln, #926 CHARLOTTE |
| State: | NC |
| Postal Code: | 282268676 |
| Phone Number: | 3042377087 |
| Fax Number: | |
| NPI Enumeration Date: | 12/27/2005 |
| NPI Last Update Date: | 02/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202004811 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| 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 |