Individual
DR. SUSAN JANE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
261 MAIN ST, YARMOUTH, ME 04096
(207) 846-3935
Mailing address
261 MAIN ST, YARMOUTH, ME 04096
(207) 846-3935
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS872
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131660000
—
ME
Enumeration date
10/03/2006
Last updated
12/11/2012
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