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THE COCOON NPI 1639864044


NPI Information

NPI: 1639864044
Provider Name: THE COCOON
Classification: Clinic/Center - 261QH0700X
Entity Type: Organization

Specialization: Hearing and Speech

Address:
780 WINDING GROVE LN
LOGANVILLE, GA
ZIP 30052
Phone: (631) 258-9396
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THE COCOON is a hearing and speech clinic center in Loganville, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. THE COCOON NPI is 1639864044. The provider is registered as an organization entity type.

The provider's business location address is:

780 WINDING GROVE LN
LOGANVILLE, GA
ZIP 30052-014
Phone: (631) 258-9396

The provider's authorized official is Brittany Peddlar .
The authorized official title is Speech-language Pathologist and has the following contact phone number (631) 258-9396.

The enumeration date for this NPI number is 4/11/2023 and was last updated on 4/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0700XClinic/CenterHearing and SpeechYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.