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Jacob Cazort Cockcroft, M.S., CF-SLP

Speech-Language Pathologist, in Siloam Springs, AR. Individual provider (NPI-1).

NPI number1669998902
StatusActive
Last updated in NPPESAug 18, 2017

Details

NPI
1669998902
Entity type
Individual (NPI-1)
Name
Jacob Cazort Cockcroft
Credential
M.S., CF-SLP
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 18, 2017
Last updated
Aug 18, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

600 S Dogwood St
Siloam Springs, AR 72761-3922

Phone 479-524-3191

Mailing address

823 Sw Arrowhead Dr
Bentonville, AR 72712-3596

Phone 501-247-6368

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