Provider Demographics
NPI:1821102419
Name:COOK, LOIS B (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LOIS
Middle Name:B
Last Name:COOK
Suffix:
Gender:F
Credentials:MA, 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:PO BOX 995
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-0995
Mailing Address - Country:US
Mailing Address - Phone:914-245-0211
Mailing Address - Fax:914-243-9573
Practice Address - Street 1:1133 PLEASANTVILLE RD
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-1634
Practice Address - Country:US
Practice Address - Phone:914-241-2727
Practice Address - Fax:914-243-9573
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000450235Z00000X
NJYS00656235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist