Provider Demographics
NPI:1720227606
Name:COOK, ALLISON MONIQUE (MS SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:MONIQUE
Last Name:COOK
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159-10 71ST AVENUE
Mailing Address - Street 2:APT. 6J
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365
Mailing Address - Country:US
Mailing Address - Phone:347-415-6006
Mailing Address - Fax:
Practice Address - Street 1:15910 71ST AVE
Practice Address - Street 2:APT. 6J
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-3020
Practice Address - Country:US
Practice Address - Phone:347-415-6006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106906235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist