Organization
COOK CONSULTING & PSYCHOLOGICAL SERVICES,PC
Active
Other names
Joan L Cook
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN L COOK PSY.D, HSPP (OWNER)
(260) 602-5373
Entity
Organization
Contact information
Practice address
10228 DONALD AVE, LEO, IN 46765-9507
(260) 602-5373
(260) 627-8460
Mailing address
11123 PARKVIEW PLAZA DR, SUITE 200, FORT WAYNE, IN 46845-1707
(260) 602-5373
(260) 627-8460
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042048A
IN
Other
Enumeration date
08/29/2006
Last updated
12/28/2007
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