Provider Demographics
NPI:1942398177
Name:COOKS, AMBER ANN (MA CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:ANN
Last Name:COOKS
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:ANN
Other - Last Name:ACKERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1325 STEWART CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2695
Mailing Address - Country:US
Mailing Address - Phone:615-225-8301
Mailing Address - Fax:
Practice Address - Street 1:300 STONECREST BLVD
Practice Address - Street 2:SUITE 375
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167
Practice Address - Country:US
Practice Address - Phone:615-220-5796
Practice Address - Fax:615-220-8829
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3157235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist