Provider Demographics
NPI:1851809065
Name:COCKFIELD, ANN DENISE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:DENISE
Last Name:COCKFIELD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8961 W TIERRA BUENA LN
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-3723
Mailing Address - Country:US
Mailing Address - Phone:602-339-8201
Mailing Address - Fax:602-865-5857
Practice Address - Street 1:5605 W EUGIE AVE STE 212
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85304-1275
Practice Address - Country:US
Practice Address - Phone:602-865-5830
Practice Address - Fax:602-865-5857
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0580235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist