Edrie Cook, Speech Language Path
Speech-Language Pathologist, in Bassett, VA. Individual provider (NPI-1).
NPI number1669972691
StatusActive
Last updated in NPPESFeb 16, 2018
Details
- NPI
- 1669972691
- Entity type
- Individual (NPI-1)
- Name
- Edrie Cook
- Credential
- Speech Language Path
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2018
- Last updated
- Feb 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 2202002747 | VA | Yes |
Practice location
19 Sanville School RdBassett, VA 24055-5032
Phone 276-629-5301
Mailing address
19 Sanville School RdBassett, VA 24055-5032
Phone 276-629-5301
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