Kylie Erin Cook, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Everett, PA
NPI 1619449709 · NPPES record last updated Dec 30, 2018
Key facts
- NPI
- 1619449709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL014341 (PA)
- Practice address
- 208 Pennknoll Rd
Everett, PA 15537-6940 - Phone
- (814) 623-3200
- NPI assigned
- Dec 30, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220324001688 | SC | Practitioner - Qualified Speech Language Pathologist | 3870988009 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL014341 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Tides Speech and Language L.L.C. | Speech-Language Pathologist | Current |
Accepting new patients |
| Benchmark Therapy, Inc | Past | Accepting new patients | |
| Benchmark Therapy, Inc | Past | Accepting new patients | |
| Benchmark Therapy, Inc. | Past | Accepting new patients |
Locations
1744 Sam Rittenberg Blvd
Ste E
Charleston, SC 29407
Phone (607) 423-6613
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL014341 | PA | Yes |
Addresses
Primary practice location
208 Pennknoll Rd
Everett, PA 15537-6940
Mailing address
3488 Business 220
Bedford, PA 15522-1120
Phone (724) 859-4631
Other providers in Everett, PA
- Caring Healthcare Network Bedford, LLC
- Dustin Paul Carnell
- Peter J Castelli
- Children'S Community Care
- Victoria Jean Coles
- Alex J Corle
- Alice Corle
- Darryl K. Warner
- Ernesto M De Las Alas
- Jocelyn Kira Deneen
All providers in Everett, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2018. 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.