Individual
MS. ALYSSA ELIZABETH COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5000
Mailing address
1503 E SHERIDAN ST, PHOENIX, AZ 85006-1139
(732) 615-8524
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14090548
—
235Z00000X
Speech-Language Pathologist
Primary
SLP-4241
ID
235Z00000X
Speech-Language Pathologist
SLP11134
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14090548
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
—
Enumeration date
05/08/2018
Last updated
03/23/2020
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