Provider Demographics
NPI:1124214796
Name:COX, NATALIE JEANNE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:JEANNE
Last Name:COX
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3134 FIESTA DR
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-2909
Mailing Address - Country:US
Mailing Address - Phone:727-771-2592
Mailing Address - Fax:
Practice Address - Street 1:3134 FIESTA DR
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-2909
Practice Address - Country:US
Practice Address - Phone:727-771-2592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 3718235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist