Dr Susan J Cook Pa | |
261 Main St Yarmouth ME 04096-6755 | |
(207) 846-3935 | |
Not Available |
Full Name | Dr Susan J Cook Pa |
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Speciality | Psychologist |
Location | 261 Main St, Yarmouth, Maine |
Authorized Official Name and Position | Susan Jane Cook (PRESIDENT/TREASURER) |
Authorized Official Contact | 2078463935 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dr Susan J Cook Pa 261 Main St Yarmouth ME 04096-6755 Ph: (207) 846-3935 | Dr Susan J Cook Pa 261 Main St Yarmouth ME 04096-6755 Ph: (207) 846-3935 |
NPI Number | 1386094498 |
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Provider Enumeration Date | 06/20/2016 |
Last Update Date | 10/11/2016 |
Medicare PECOS PAC ID | 8325336365 |
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Medicare Enrollment ID | O20161007000103 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386094498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PS872 (Maine) | Primary |
Provider Name | Susan J Cook |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1023102613 PECOS PAC ID: 6608818257 Enrollment ID: I20050524001294 |
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