Individual
BRYAN J COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TLMLP
Contact information
Practice address
212 STATE STREET, FORT SCOTT, KS 66701
(620) 223-5030
(620) 223-1650
Mailing address
212 STATE STREET, FORT SCOTT, KS 66701
(620) 223-5030
(620) 223-1650
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
960
KS
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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