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Individual

TIMOTHY PAUL COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
18969 US ROUTE 11, WATERTOWN, NY 13601-5320
(315) 782-4391
Mailing address
PO BOX 6600, WATERTOWN, NY 13601-6600
(315) 782-4391
(315) 788-8319

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
8150
NY

Other

Enumeration date
01/22/2007
Last updated
07/08/2007
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