Shannon Cook
Individual provider Active NPI Speech-Language Pathologist · Highland, MI
NPI 1114459591 · NPPES record last updated Apr 3, 2017
Key facts
- NPI
- 1114459591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7101005309 (MI)
- Practice address
- 2636 S Milford Rd
Highland, MI 48357-4938 - Phone
- (248) 684-9610
- NPI assigned
- Apr 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101005309 | MI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101005309 | MI | Yes |
Addresses
Primary practice location
2636 S Milford Rd
Highland, MI 48357-4938
Mailing address
2871 Sandhurst
Rochester Hills, MI 48307-4556
Phone (248) 720-8201
Other providers in Highland, MI
- Emily Elizabeth Clark
- Karen Coden
- Community Foot Centers PC
- Comprehensive Physical Consultants
- Mikaela Leigh Cook
- Stephen Andrew Corry
- Lindsey Meredith Corso
- Shannon Brianna Cross
- Csy, PLLC
- Deanna Lynne Cueny
All providers in Highland, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.