Individual
DR. CARLA J. COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
567 PARK AVE STE 101, SCOTCH PLAINS, NJ 07076-1754
(908) 322-3282
(908) 322-2517
Mailing address
773 CLIFFORD SALADIN ST, RAHWAY, NJ 07065-5670
(732) 770-0351
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
35S100403200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
316471
MHN PROVIDER ID
NJ
01
—
3448688
AETNA PROVIDER ID
NJ
01
—
598303000
MAGELLAN BCBS PROVIDER ID
NJ
Enumeration date
03/06/2007
Last updated
02/07/2017
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