Individual
DR. TRAVIS ANDREW ROSS COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
940 BELMONT ST, 116B, BROCKTON, MA 02301-5596
(508) 583-4500
Mailing address
940 BELMONT ST, 116B, BROCKTON, MA 02301-5596
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PS01128
RI
103TC0700X
Clinical Psychologist
Primary
PS01128
RI
Other
Enumeration date
01/13/2009
Last updated
10/15/2012
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