Organization
ROBERT S. COOK, PH.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SYLVESTER COOK PH.D. (CEO)
(435) 753-0272
Entity
Organization
Contact information
Practice address
1750 RESEARCH PARK WAY, SUITE 104, NORTH LOGAN, UT 84341-1955
(435) 753-0272
(435) 753-2252
Mailing address
PO BOX 6340, LOGAN, UT 84341-6340
(435) 753-0272
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4787371-2501
UT
Other
Enumeration date
07/07/2006
Last updated
10/11/2007
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