Individual
HETHER RENEE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5000 W NATIONAL AVE DEPT 3C, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
5000 W NATIONAL AVE DEPT 3C, MILWAUKEE, WI 53295-0001
(414) 384-2000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2585
KS
103TC1900X
Counseling Psychologist
2585
KS
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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