Individual
DR. ROBERT F COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
604 EASTGATE ST, CARBONDALE, IL 62901-3304
(618) 203-4790
(618) 305-8449
Mailing address
PO BOX 791, CARBONDALE, IL 62903-0791
(618) 203-4790
(618) 305-8449
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010209
IL
Other
Enumeration date
04/10/2023
Last updated
04/06/2024
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