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NPI Code Detail

MEDICARE: MRS. ANN DENISE COCKFIELD MS, CCC-SLP

MEDICARE: MRS. ANN DENISE COCKFIELD MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist0580AZ

General Provider Information

NPI Number : 1851809065
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANN DENISE COCKFIELD MS, CCC-SLP
Provider Business Mailing Address
First Line : 8961 W TIERRA BUENA LN
Second Line :
City : PEORIA
State : AZ
Zip : 85382-3723
Country : US
Telephone Number : 602-339-8201
Fax Number : 602-865-5857
Provider Business Practice Location Address
First Line : 5605 W EUGIE AVE STE 212
Second Line :
City : GLENDALE
State : AZ
Zip : 85304-1275
Country : US
Telephone Number : 602-865-5830
Fax Number : 602-865-5857
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2018
Last Update Date : 01/22/2018

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Directions to “ MRS. ANN DENISE COCKFIELD MS, CCC-SLP” Practice Location

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