| Edith A Cooke Psyd Psychologist Inc | |
|
5016 Parkway Calabasas Ste 212 Calabasas CA 91302-3900 | |
| (310) 497-1404 | |
| Not Available |
| Full Name | Edith A Cooke Psyd Psychologist Inc |
|---|---|
| Speciality | Psychologist |
| Location | 5016 Parkway Calabasas Ste 212, Calabasas, California |
| Authorized Official Name and Position | Edith Alexander Cooke (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 3104971404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edith A Cooke Psyd Psychologist Inc 21833 Woodland Crest Dr Woodland Hills CA 91364-5252 Ph: (310) 497-1404 | Edith A Cooke Psyd Psychologist Inc 5016 Parkway Calabasas Ste 212 Calabasas CA 91302-3900 Ph: (310) 497-1404 |
| NPI Number | 1952130569 |
|---|---|
| Provider Enumeration Date | 07/31/2024 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Medicare PECOS PAC ID | 6103364526 |
|---|---|
| Medicare Enrollment ID | O20240816001757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952130569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Edith A Cooke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255688172 PECOS PAC ID: 7719288778 Enrollment ID: I20240816003866 |
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