Provider Demographics
NPI:1316268873
Name:COX, MOLLY (MS CCC-SLP, MT-BC)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:MS CCC-SLP, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 S AVONDALE ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-4301
Mailing Address - Country:US
Mailing Address - Phone:806-236-0530
Mailing Address - Fax:
Practice Address - Street 1:1303 S AVONDALE ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-4301
Practice Address - Country:US
Practice Address - Phone:806-236-0530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX07067225A00000X
TX24721235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist