Individual
RUTH E COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/A
Contact information
Practice address
1250 FOREST AVE, SUITE 301, PORTLAND, ME 04103-1884
(207) 797-5753
(207) 878-1715
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AP1052
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027843
ANTHEM
ME
05
—
317990099
—
ME
Enumeration date
10/18/2005
Last updated
04/03/2012
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