Individual
DR. SUSANNE PETRA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5695 KING CENTRE DR, STE. 100, ALEXANDRIA, VA 22315-5744
(540) 720-2261
(540) 720-5660
Mailing address
5695 KING CENTRE DR, STE. 100, ALEXANDRIA, VA 22315-5744
(540) 720-2261
(540) 720-5660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007575
VA
235Z00000X
Speech-Language Pathologist
SLP008094
GA
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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