Doctor Name: | MS. JANE ELLEN COOKE |
NPI Number: | 1831159516 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | CW014098 |
Business Practice Address: | 595 Bethlehem Pike Suite 201 Montgomeryville, PA - 189369710 |
Business Phone Number: | 6109705234 |
Business Fax Number: | 6109790945 |
Mailing Address: | 107 Hardwood Ct, CHALFONT |
State: | PA |
Postal Code: | 189142035 |
Phone Number: | 6109705234 |
Fax Number: | 6109700945 |
NPI Enumeration Date: | 03/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | CW014098 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |