Candace Cook, SLP
Individual provider Active NPI Speech-Language Pathologist · Tuscaloosa, AL
NPI 1497988372 · NPPES record last updated Aug 26, 2009
Key facts
- NPI
- 1497988372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2662 (AL)
- Practice address
- 700 University Blvd E
Tuscaloosa, AL 35401-2028 - Phone
- (205) 348-7131
- Fax
- (205) 348-7216
- NPI assigned
- Aug 26, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220815000109 | AL | Practitioner - Qualified Speech Language Pathologist | 6901289669 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2662 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of the University of Alabama | Speech-Language Pathologist | Current |
Accepting new patients |
| The Board of Trustees of the University of Alabama | Past | Accepting new patients |
Locations
700 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 348-7131
870242 Box
Tuscaloosa, AL 35487
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2662 | AL | Yes |
Addresses
Primary practice location
700 University Blvd E
Tuscaloosa, AL 35401-2028
Mailing address
700 University Blvd E
Tuscaloosa, AL 35401-2028
Phone (205) 348-7131
Other providers in Tuscaloosa, AL
- Grace Compton
- Connecting Hearts Residential Services Inc
- Connecting the Dots
- Carol Yvonne Conner
- JF Donal Conway
- Haley Kathleen Cook
- Jonathan Cook
- Robert Ashley Cook Jr.
- Laura Cooks
- Jenna Renea Cooper
All providers in Tuscaloosa, AL · Speech-Language Pathologist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.