Organization Name: | ROBERT S. COOK, PH.D., PC |
NPI Number: | 1619909116 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT SYLVESTER COOK (CEO) |
Mailing Address: | 1750 Research Park Way Suite 104 North Logan |
State: | UT US |
Postal Code: | 843411955 |
Phone Number: | 4357530272 |
Fax Number: | 4357532252 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 10/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 4787371-2501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |