| Organization Name: | COOK CONSULTING & PSYCHOLOGICAL SERVICES,PC |
| NPI Number: | 1881703601 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOAN L COOK (OWNER) |
| Mailing Address: | 10228 Donald Ave Leo |
| State: | IN US |
| Postal Code: | 467659507 |
| Phone Number: | 2606025373 |
| Fax Number: | 2606278460 |
| NPI Enumeration Date: | 08/29/2006 |
| NPI Last Update Date: | 12/28/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 20042048A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |