Individual
ANNA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPT
Contact information
Practice address
125 E ELM AVE, STE 103, FLAGSTAFF, AZ 86001-3258
(928) 779-1679
(928) 779-2822
Mailing address
125 E ELM AVE, STE 103, FLAGSTAFF, AZ 86001-3258
(928) 779-1679
(928) 779-2822
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4328
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
854522
AHCCCS NUMBER
AZ
Enumeration date
10/12/2006
Last updated
07/08/2007
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