Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Vivian Delores Cockrell, SPEECHPATHOLOGIST

Individual provider Speech-Language Pathologist · NPI 1740658996

Mrs. Vivian Delores Cockrell, SPEECHPATHOLOGIST is a Speech-Language Pathologist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

11960 Westline Industrial Dr Ste 201
Saint Louis, MO 63146-3209
Phone: (314) 819-0480
Fax: (314) 275-7444
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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 (MO)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 146.000944 (IL)

Record details

NPI number1740658996
Entity typeIndividual (Type 1)
GenderFemale
Credentials SPEECHPATHOLOGIST
Sole proprietorYes
NPI enumeratedSeptember 4, 2015
Last updated in NPPESSeptember 4, 2015

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