Individual
ELIZABETH COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
480 W. 9TH AVENUE, COLUMBUS, OH 43210
(614) 293-7604
(614) 366-3809
Mailing address
480 MEDICAL CENTER DR, COLUMBUS, OH 43210-1229
(614) 293-7604
(614) 366-3809
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
5105
OH
103T00000X
Psychologist
5105
OH
103TR0400X
Rehabilitation Psychologist
Primary
5105
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236006
—
OH
Enumeration date
08/10/2006
Last updated
09/28/2016
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