| Doctor Name: | MS. PAULA HOLMES COOKSON |
| NPI Number: | 1013244011 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | MC11818 |
| Business Practice Address: | 16 Fahey St Cobb Medical Building 103 Belfast, ME - 049156029 |
| Business Phone Number: | 2073385440 |
| Business Fax Number: | 2073386912 |
| Mailing Address: | 16 Fahey St, Cobb Medical Building 103 BELFAST |
| State: | ME |
| Postal Code: | 049156029 |
| Phone Number: | 2073382500 |
| Fax Number: | 2073386912 |
| NPI Enumeration Date: | 11/11/2009 |
| NPI Last Update Date: | 08/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | MC11818 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |