Individual
DR. SHANNON MONIECE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
34921 US HIGHWAY 19 N STE 200, PALM HARBOR, FL 34684
(727) 255-3736
Mailing address
34921 US HIGHWAY 19 N STE 260, PALM HARBOR, FL 34684-1969
(727) 225-3736
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 7486
FL
103TC0700X
Clinical Psychologist
PY7486
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59424
BCBSFL
—
Enumeration date
01/15/2007
Last updated
05/17/2018
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