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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