Provider Demographics
NPI:1053085274
Name:COOK, RACHAEL A (AUD)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:A
Last Name:COOK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3805 E BELL RD STE 5800
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2190
Mailing Address - Country:US
Mailing Address - Phone:602-688-6500
Mailing Address - Fax:
Practice Address - Street 1:6320 W UNION HILLS DR STE A170
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-7152
Practice Address - Country:US
Practice Address - Phone:602-688-6500
Practice Address - Fax:602-867-3144
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist