Individual
KIMBERLY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3200 CONCORD RD, SUITE 103, ASTON, PA 19014-1931
(610) 859-7388
(610) 859-0367
Mailing address
111 COLUMBINE DR, WEST GROVE, PA 19390-1354
(484) 432-6776
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009431
PA
Other
Enumeration date
06/20/2010
Last updated
11/09/2012
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