Individual
DR. JO ANN L COOK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
1316 PALMETTO AVE, WINTER PARK, FL 32789-4916
(407) 740-5259
(407) 628-3933
Mailing address
1316 PALMETTO AVE, WINTER PARK, FL 32789-4916
(407) 740-5259
(407) 628-3933
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z1529
BCBS NONPARTICIPATING #
FL
Enumeration date
07/28/2005
Last updated
07/08/2007
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