Provider Demographics
NPI:1053077008
Name:COOK, SHANA TURNER (SLP)
Entity Type:Individual
Prefix:
First Name:SHANA
Middle Name:TURNER
Last Name:COOK
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-2547
Mailing Address - Country:US
Mailing Address - Phone:720-217-5323
Mailing Address - Fax:
Practice Address - Street 1:1940 WILLOW LN
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-2547
Practice Address - Country:US
Practice Address - Phone:720-217-5323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist