Provider Demographics
NPI:1356638571
Name:COOKSEY, SHARON KAYE (MS,CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:KAYE
Last Name:COOKSEY
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 1:9217 COUNTY ROAD 105
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:76050-3515
Mailing Address - Country:US
Mailing Address - Phone:817-240-5208
Mailing Address - Fax:
Practice Address - Street 1:9217 COUNTY ROAD 105
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:TX
Practice Address - Zip Code:76050-3515
Practice Address - Country:US
Practice Address - Phone:817-240-5208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19335235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist