Cynthia Diane Cockerham
NPI 1083198717ActiveIndividual· Speech-Language Pathologist· Mississippi State, MS
Speech-Language Pathologist with Drayer Physical Therapy Mississippi LLC, practicing in Mississippi State, Mississippi. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1083198717 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 19, 2018 |
| Last updated in NPPES | Sep 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | S4500 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (MS) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Drayer Physical Therapy Mississippi LLCCrystal Springs, MS · 107 clinicians
Other Speech-Language Pathologist providers in Mississippi State
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- 1063825818
- 1013191022
- 1881198158