Cooke, Deundra T

Cooke, Deundra T is an sole proprietor health care provider with primary practice located at 102 Buford Ave , Anderson SC 29621-3363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Cooke, Deundra T can be contacted via phone (864) 261-9506.

Contact Information

Primary practice address
102 Buford Ave Anderson SC 29621-3363
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 22322 South Carolina

Profile Details

NPI number 1306312517
LBN Legal business name Cooke, Deundra T
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2018
Last updated Oct 16th, 2018 - about 7 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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