Cook, Kathleen
Cook, Kathleen is an individual health care provider with primary practice located at 2639 New Pinery Rd Ste 1 , Portage WI 53901-1110. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Cook, Kathleen can be contacted via phone (608) 742-5020.Contact Information
Primary practice address
2639 New Pinery Rd Ste 1
Portage WI 53901-1110
Phone: (608) 742-5020
Fax: (608) 742-3641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 656-124 | Wisconsin |
Profile Details
| NPI number | 1407951767 |
|---|---|
| LBN Legal business name | Cook, Kathleen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407951767 | NPPES |
| Wisconsin | MEDICAID | 40919600 |
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