Cooke, Julia Clodius
Cooke, Julia Clodius is an individual health care provider with primary practice located at 106 W Fourth St Box A, Dixon MO 65459-0166. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Cooke, Julia Clodius can be contacted via phone (573) 759-7163.Contact Information
Primary practice address
106 W Fourth St Box A
Dixon MO 65459-0166
Phone: (573) 759-7163
Fax: (573) 759-2506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2001019376 | Missouri |
Profile Details
| NPI number | 1316070444 |
|---|---|
| LBN Legal business name | Cooke, Julia Clodius |
| Credentials | MHS CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Feb 20th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316070444 | NPPES |
| Missouri | MEDICAID | 467589909 |
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