Joan L Cook | |
10228 Donald Ave Leo IN 46765-9507 | |
(260) 602-5373 | |
(260) 627-8460 |
Full Name | Joan L Cook |
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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 |
---|---|
Joan L Cook 11123 Parkview Plaza Dr Suite 200 Fort Wayne IN 46845-1707 Ph: (260) 602-5373 | Joan L Cook 10228 Donald Ave Leo IN 46765-9507 Ph: (260) 602-5373 |
NPI Number | 1881703601 |
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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 |