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JAN HAGWOOD COCKE M.A. CCC-SLP LLC NPI 1780058578


NPI Information

NPI: 1780058578
Provider Name: JAN HAGWOOD COCKE, M.A., CCC-SLP, LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
3221 PLUM CIR
ORANGEBURG, SC
ZIP 29118
Phone: (803) 378-7459
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JAN HAGWOOD COCKE, M.A., CCC-SLP, LLC is a speech language pathologist in Orangeburg, SC. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. JAN HAGWOOD COCKE, M.A., CCC-SLP, LLC NPI is 1780058578. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3221 PLUM CIR
ORANGEBURG, SC
ZIP 29118-148
Phone: (803) 378-7459
Fax: (803) 536-4922

The provider's authorized official is Jan Hagwood Cocke .
The authorized official title is Owner and has the following contact phone number 80337487459.

The enumeration date for this NPI number is 11/17/2015 and was last updated on 11/17/2015.


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
1235Z00000XSpeech-Language Pathologist3546SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SA0548MEDICAIDSOUTH CAROLINA

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

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