Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Cullen Conrad Cooke, MA, CFY-SLP

Individual provider Speech-Language Pathologist · NPI 1366997298

Mr. Cullen Conrad Cooke, MA, CFY-SLP is a Qualified Speech Language Pathologist in Danville, Virginia. Qualified in 2016, 10 years ago. Practices with Speech and Occupational Therapy Specialists, a 5-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
10
Licensed in
VA
In the registry since
2016
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

625 Piney Forest Rd Ste 407
Danville, VA 24540-2870
Phone: (434) 799-7732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2202008324 (VA)

Record details

NPI number1366997298
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , CFY-SLP
Sole proprietorNo
NPI enumeratedAugust 21, 2016
Last updated in NPPESAugust 21, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Speech And Occupational Therapy Specialists — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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