| Doctor Name: | TANYA ILENE COOK |
| NPI Number: | 1427197367 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ED.S |
| License Number: | 21035 |
| Business Practice Address: | 30 Central Ave Welch, WV - 248012008 |
| Business Phone Number: | 3044368441 |
| Business Fax Number: | |
| Mailing Address: | 1062 Airport Rd, WELCH |
| State: | WV |
| Postal Code: | 248012710 |
| Phone Number: | 3045498100 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 21035 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |