Ann Patricia Cookson, SLPA

Individual provider Active NPI Speech-Language Assistant · Lewiston, ME

NPI 1083311641 · NPPES record last updated Feb 13, 2023

Key facts

NPI
1083311641
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
SAS3837 (ME)
Practice address
443 Main St
Lewiston, ME 04240-6733
Phone
(207) 577-4518
Fax
(207) 514-8260
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SAS3837MEMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Minds Therapy Services LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SAS3837 ME Yes

Addresses

Primary practice location

443 Main St
Lewiston, ME 04240-6733

Mailing address

44 Pejepscot Ter
Brunswick, ME 04011-1689
Phone (207) 213-5500

Other providers in Lewiston, ME

All providers in Lewiston, ME · Speech-Language Assistant in Maine

Sources for this page

Verify at the official NPI Registry.