Organization
COLLEEN M. COOK, PH.D., PLLC
Active
Organization
COLLEEN M. COOK, PH.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN MARIE COOK PH.D. (PSYCHOLOGIST)
(614) 323-0813
Entity
Organization
Contact information
Practice address
1 GREENLEAF WOODS DR UNIT 302, PORTSMOUTH, NH 03801-5437
(614) 323-0813
Mailing address
40 WINTER ST, PORTSMOUTH, NH 03801-4351
(614) 323-0813
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
809
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11658090
CAQH
OH
Enumeration date
02/16/2018
Last updated
02/16/2018
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