Individual
ALICE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1708 SOUTHPOINT DR, CLEVELAND, OH 44109-1911
(216) 787-0500
Mailing address
30 E BROAD ST, 11 TH FL. ATTN: TONYA FASONE, COLUMBUS, OH 43215-3414
(614) 466-9930
(614) 644-9116
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5146
OH
Other
Enumeration date
09/28/2006
Last updated
06/08/2011
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