| Doctor Name: | MS. DONNA COOKE |
| NPI Number: | 1356488431 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | 808 |
| Business Practice Address: | 2954 Buffalo Creek Rd Chattaroy, WV - 25667 |
| Business Phone Number: | 3042352954 |
| Business Fax Number: | |
| Mailing Address: | Po Box 176, LOGAN |
| State: | WV |
| Postal Code: | 256010176 |
| Phone Number: | 3047927130 |
| Fax Number: | 3047927138 |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 808 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |