Individual
DR. STEPHEN BLAINE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
190 OVERTHRUST, EVANSTON, WY 82930
(307) 789-4224
(307) 789-4225
Mailing address
347 CLARKSON AVE, EVANSTON, WY 82930-5153
(307) 789-6620
(307) 789-6009
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
279
WY
Other
Enumeration date
09/16/2006
Last updated
11/24/2015
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