Individual
MRS. AMY ANN COCANOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1664 N. VIRGINIA MAIL STOP 152, REDFIELD MEDICAL BLDG, RENO, NV 89557-0152
(775) 784-4887
(775) 784-4887
Mailing address
1664 N VIRGINIA MAIL STOP 152, REDFIELD MEDICAL BLDG, RENO, NV 89557-0152
(775) 784-4887
(775) 784-4095
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1351
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP1351
BOARD OF EXAMINERS
NV
Enumeration date
08/15/2012
Last updated
08/15/2012
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