Provider Demographics
NPI:1689807711
Name:COOK, KALEE E (BA, SLPA)
Entity Type:Individual
Prefix:
First Name:KALEE
Middle Name:E
Last Name:COOK
Suffix:
Gender:F
Credentials:BA, SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:923 BROOKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71730-3013
Mailing Address - Country:US
Mailing Address - Phone:870-310-0582
Mailing Address - Fax:
Practice Address - Street 1:923 BROOKWOOD DR
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730-3013
Practice Address - Country:US
Practice Address - Phone:870-310-0582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant