Provider Demographics
NPI:1417624826
Name:WORDS OF LIFE
Entity Type:Organization
Organization Name:WORDS OF LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MALISSA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:CENTERS COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-237-7401
Mailing Address - Street 1:100 HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42164-7813
Mailing Address - Country:US
Mailing Address - Phone:270-237-7401
Mailing Address - Fax:
Practice Address - Street 1:100 HICKORY LN
Practice Address - Street 2:
Practice Address - City:SCOTTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42164-7813
Practice Address - Country:US
Practice Address - Phone:270-237-7401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency