| Mr Cullen Conrad Cooke, MA, CFY-SLP | |
|
625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | |
| (434) 799-7732 | |
| Not Available |
| Full Name | Mr Cullen Conrad Cooke |
|---|---|
| Gender | Male |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 9 Years |
| Location | 625 Piney Forest Rd Ste 407, Danville, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366997298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2202008324 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Speech And Occupational Therapy Specialists | 4981034477 | 5 |
| Provider Name | Speech & Occupational Therapy Specialists |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902437841 PECOS PAC ID: 4981034477 Enrollment ID: O20200424000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Cullen Conrad Cooke, MA, CFY-SLP 206 Mount Vernon Ave, Apt A, Danville, VA 24541-2815 Ph: (803) 646-2086 | Mr Cullen Conrad Cooke, MA, CFY-SLP 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 Ph: (434) 799-7732 |
Savannah Scearce, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 159 Executive Dr Ste A, Danville, VA 24541 Phone: 434-799-7732 Fax: 434-799-7733 | |
Lauren Elizabeth Cornell, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 175 Deer Run Rd, Danville, VA 24540 Phone: 434-797-5531 | |
Sara Peters, ASLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 159 Executive Dr Ste A, Danville, VA 24541 Phone: 434-799-7732 | |
Mrs. Lavon Bowman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2526 N Main St, Danville, VA 24540 Phone: 434-836-9510 | |
Jonet Artis, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2943 Riverside Dr, Suites D-e, Danville, VA 24541 Phone: 434-799-7732 | |
Mrs. Jessica Leigh Brammer-owens, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 175 Deer Run Rd, Danville, VA 24540 Phone: 434-797-5531 Fax: 434-797-5529 | |
Miss Amy Frauen, M.S.ED. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 508 Rison St, Danville, VA 24541 Phone: 434-799-4540 |