Individual
DR. JOAN LYNN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, HSPP
Contact information
Practice address
2116 HADLEIGH HILLS CT, NAVARRE, FL 32566-3392
(260) 602-5373
Mailing address
2116 HADLEIGH HILLS CT, NAVARRE, FL 32566-3392
(260) 602-5373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
20042048A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200835520
—
IN
Enumeration date
03/14/2006
Last updated
03/19/2019
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