Individual
MRS. EMBER IAN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2140 SHATTUCK AVE STE 405, BERKELEY, CA 94704-1214
(510) 206-0599
Mailing address
2140 SHATTUCK AVE STE 405, BERKELEY, CA 94704-1214
(510) 206-0599
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY29064
CA
Other
Enumeration date
08/21/2012
Last updated
01/31/2019
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