Provider Demographics
NPI:1528956927
Name:COOKE, MARY-KATHERINE ELLIN (MA CF-SLP)
Entity type:Individual
Prefix:
First Name:MARY-KATHERINE
Middle Name:ELLIN
Last Name:COOKE
Suffix:
Gender:F
Credentials:MA CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:37 ROSEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-1511
Mailing Address - Country:US
Mailing Address - Phone:516-916-0269
Mailing Address - Fax:
Practice Address - Street 1:3 DEEP WELL FARMS RD
Practice Address - Street 2:
Practice Address - City:SOUTH SALEM
Practice Address - State:NY
Practice Address - Zip Code:10590-1916
Practice Address - Country:US
Practice Address - Phone:914-671-3175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist