Individual
DR. CHRISTINE JOAN COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
837 BROADWAY, SOUTH PORTLAND, ME 04106-2708
(207) 332-3872
Mailing address
254 COTTAGE RD, SOUTH PORTLAND, ME 04106-3803
(207) 332-3872
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3342
MA
103T00000X
Psychologist
Primary
PS1200
ME
Other
Enumeration date
12/11/2006
Last updated
08/10/2007
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