Cook, Phyllis T.

Cook, Phyllis T. is an individual health care provider with primary practice located at 2823 Ocean Gtwy , Cambridge MD 21613-3403. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Cook, Phyllis T. can be contacted via phone (410) 221-6343.

Contact Information

Primary practice address
2823 Ocean Gtwy Cambridge MD 21613-3403
Phone: (410) 221-6343
Fax: (410) 221-6342
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AC0191 Maryland

Profile Details

NPI number 1487712907
LBN Legal business name Cook, Phyllis T.
Credentials CAC-AD, CCDC, ICADC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487712907 NPPES
Maryland Other AC0191 CERTIFIED ADDICTION COUNS

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