Most Relevant Information
Provider Data
| NPI Number: | 1003011222 |
| Provider Name: | WYNNA GAIL COOK MSCCCSLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | KY-2467 |
Most Important Dates
| Enumeration Date: | 06/18/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
120 LIFE CARE WAY
BARDSTOWN
KY
400042059
Practice Location Phone/Fax
| Phone: | 5023484220 |
| Fax: |
Provider Mailing Location
6819 NAT ROGERS ROAD
BOSTON
KY
40107
Provider Mailing Phone/Fax
| Phone: | 5025499938 |
| Fax: |