Individual
DENISE M COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
11256 N 128TH ST, SCOTTSDALE, AZ 85259-4412
(480) 484-5504
Mailing address
12324 E LUPINE AVE, SCOTTSDALE, AZ 85259-3303
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103T00000X
PSYCHOLOGIST
AZ
Enumeration date
01/18/2007
Last updated
07/08/2007
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