Individual
IAN CAMERON COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
2730 SHADELANDS DR BLDG 10, WALNUT CREEK, CA 94598-2538
(510) 541-4945
Mailing address
2133 WARD ST, BERKELEY, CA 94705-1039
(510) 326-3722
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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