Provider Demographics
NPI:1982118998
Name:COX, TONI SUZANNE (MS CCC-SLP/L)
Entity Type:Individual
Prefix:MRS
First Name:TONI
Middle Name:SUZANNE
Last Name:COX
Suffix:
Gender:F
Credentials:MS CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 E ELM ST
Mailing Address - Street 2:
Mailing Address - City:STREATOR
Mailing Address - State:IL
Mailing Address - Zip Code:61364-2538
Mailing Address - Country:US
Mailing Address - Phone:815-200-0806
Mailing Address - Fax:
Practice Address - Street 1:202 E 1ST ST
Practice Address - Street 2:
Practice Address - City:STREATOR
Practice Address - State:IL
Practice Address - Zip Code:61364-1591
Practice Address - Country:US
Practice Address - Phone:815-200-0806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146009391235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty