Individual
JASON T. COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., HSPP
Contact information
Practice address
7230 ENGLE RD, STE 304, FORT WAYNE, IN 46804-2209
(260) 483-2400
(260) 960-9361
Mailing address
7230 ENGLE RD, STE 304, FORT WAYNE, IN 46804-2209
(260) 481-2700
(260) 481-2717
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041587A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200290630
—
IN
Enumeration date
02/13/2006
Last updated
10/02/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us