Individual
MRS. DEBORAH KNOWLES COOK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5528 OLD BULLARD RD, SUITE 103, TYLER, TX 75703-4362
(903) 581-5421
Mailing address
5528 OLD BULLARD RD, SUITE 103, TYLER, TX 75703-4362
(903) 581-5421
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19788
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87896T
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/23/2007
Last updated
07/08/2007
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