Organization
SHANNON COOK. PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON COOK PH.D. (SOLE MENBER)
(727) 255-3736
Entity
Organization
Contact information
Practice address
7220 FAULKNER LN, #108, TRINITY, FL 34655-3667
(727) 255-3736
Mailing address
7220 FAULKNER LN, #108, TRINITY, FL 34655-3667
(727) 255-3736
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 7486
FL
Other
Enumeration date
03/17/2009
Last updated
07/16/2009
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