Provider Demographics
NPI:1487078580
Name:COOK, MARGARET AMANDA (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:AMANDA
Last Name:COOK
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9592 HOOSE RD
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-7460
Mailing Address - Country:US
Mailing Address - Phone:440-266-0308
Mailing Address - Fax:
Practice Address - Street 1:9592 HOOSE RD
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-7460
Practice Address - Country:US
Practice Address - Phone:440-266-0308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.7469235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist