| Cook Consulting & Psychological Services,pc | |
|
10228 Donald Ave Leo IN 46765-9507 | |
| (260) 602-5373 | |
| (260) 627-8460 |
| Full Name | Cook Consulting & Psychological Services,pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 10228 Donald Ave, Leo, Indiana |
| Authorized Official Name and Position | Joan L Cook (OWNER) |
| Authorized Official Contact | 2606025373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cook Consulting & Psychological Services,pc 11123 Parkview Plaza Dr Suite 200 Fort Wayne IN 46845-1707 Ph: (260) 602-5373 | Cook Consulting & Psychological Services,pc 10228 Donald Ave Leo IN 46765-9507 Ph: (260) 602-5373 |
| NPI Number | 1881703601 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 12/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881703601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20042048A (Indiana) | Primary |
Story House Ministries Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14110 Pony Express Run, Leo, IN 46765 Phone: 260-225-3020 |