Individual
MALISSA ELIZABETH CENTERS COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
100 HICKORY LN, SCOTTSVILLE, KY 42164-7813
(270) 237-7401
Mailing address
100 HICKORY LN, SCOTTSVILLE, KY 42164-7813
(270) 237-7401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
168678
KY
235Z00000X
Speech-Language Pathologist
—
KY
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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