Ericca Nicole Cook, CCC-SLPT
Individual provider Active NPI Speech-Language Pathologist · Redlands, CA
NPI 1982104311 · NPPES record last updated Feb 12, 2018
Key facts
- NPI
- 1982104311
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 26287 (CA)
- Practice address
- 112 11TH St
Redlands, CA 92374-3566 - Phone
- (909) 792-0543
- NPI assigned
- Feb 12, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 26287 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Playworks Center for Development and Learning, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 26287 | CA | Yes |
Addresses
Primary practice location
112 11TH St
Redlands, CA 92374-3566
Mailing address
112 11TH St
Redlands, CA 92374-3566
Phone (909) 792-0543
Other providers in Redlands, CA
- Roseann I Connerley
- Consumerhealth, Inc.
- Consumerhealth, Inc.
- Jeanette Contreras
- Convy LLC
- Anika Jan Coontz
- Kenneth Ladrayn Cooper Jr.
- Karla Coppin
- Linda Angelica Cornell
- Cornerstone Family Counseling and Behavioral Health Group, Inc
All providers in Redlands, CA · Speech-Language Pathologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2018. 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.