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Contact Information

REBECCA COOKE, SPEECH THERAPIST
118 HERRON STREET
FORT OGLETHORPE, GA30742
 Phone: 706-861-7471
 Fax: 706-861-7472
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for REBECCA COOKE · (Female)

NPI # 1174691828
Status Active
Credentials SPEECH THERAPIST
Entity Individual
Enumeration date 12/01/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • GA License # SLP006212
  • Other 10052516 AMERIGROUP
  • Other 339819 WELLCARE
  • TN Other 4115304 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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