| Myra Cooke, | |
|
56 Genesis Dr, Lake City, SC 29560-5531 | |
| (843) 389-3685 | |
| Not Available |
| Full Name | Myra Cooke |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 56 Genesis Dr, Lake City, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932592920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 5202 (South Carolina) | Primary |
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20130110000461 |
| Provider Name | Summit Speech Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730783853 PECOS PAC ID: 8729494257 Enrollment ID: O20210309000988 |
| Mailing Address | Practice Location Address |
|---|---|
| Myra Cooke, 56 Genesis Dr, Lake City, SC 29560-5531 Ph: () - | Myra Cooke, 56 Genesis Dr, Lake City, SC 29560-5531 Ph: (843) 389-3685 |
Motivations-unlimited Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 318 A Moore Street, Lake City, SC 29560 Phone: 301-651-9235 | |
Margaret Harvell Soles, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 229 Truluck St, Lake City, SC 29560 Phone: 843-699-9006 | |
Ms. Betty Mckenzie, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 318 Moore St, Lake City, SC 29560 Phone: 843-394-9799 Fax: 843-394-9899 | |
Faithworks Pediatric Innervations, Inc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 318 Moore St, Lake City, SC 29560 Phone: 843-394-9799 Fax: 843-394-9899 | |
Mrs. Sandra Helen Arthur, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 318 E Main St, Lake City, SC 29560 Phone: 843-374-2221 | |
Alexandra Holub, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 56 Genesis Dr, Lake City, SC 29560 Phone: 843-389-3685 | |
Joan Stone, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 130 Anderson St, Lake City, SC 29560 Phone: 843-598-7136 |