Provider Demographics
NPI:1437674579
Name:COOK, THERESA ELIZABETH (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:ELIZABETH
Last Name:COOK
Suffix:
Gender:F
Credentials:MS, CCC-SLP
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:418 PENNSYLVANIA AVE E APT E
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-2792
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:REHABWORKS AT WARREN GENERAL HOSPITAL
Practice Address - Street 2:TWO CRESCENT PARK WEST
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365
Practice Address - Country:US
Practice Address - Phone:814-726-4070
Practice Address - Fax:814-723-0416
Is Sole Proprietor?:No
Enumeration Date:2017-08-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist