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NPI Code Detail

MEDICARE: JODI COKER M.S., CCC-SLP

MEDICARE:   JODI  COKER  M.S., 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 PathologistT-SLP: 2468KS

General Provider Information

NPI Number : 1447441993
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI COKER M.S., CCC-SLP
Provider Business Mailing Address
First Line : 2402 CENTENNIAL BLVD
Second Line :
City : HAYS
State : KS
Zip : 67601-2362
Country : US
Telephone Number : 785-639-4603
Fax Number :
Provider Business Practice Location Address
First Line : 7733 FORSYTH BLVD STE 2300
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63105-1806
Country : US
Telephone Number : 866-314-3944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2007
Last Update Date : 02/17/2022

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Directions to “ JODI COKER M.S., CCC-SLP” Practice Location

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