Healthcare Provider Details

I. General information

NPI: 1669389367
Provider Name (Legal Business Name): HEATHER HEDRICK COOK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 COUNTY SCHOOL RD
LEXINGTON NC
27292-5670
US

IV. Provider business mailing address

618 LAKEVIEW DR
THOMASVILLE NC
27360-6434
US

V. Phone/Fax

Practice location:
  • Phone: 336-224-5538
  • Fax:
Mailing address:
  • Phone: 336-242-5538
  • Fax: 335-224-8009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number09147644
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: