Timothy Paul Cook
Clinical Child & Adolescent Psychologist
18969 Us Route 11
Watertown
, New York 13601-5320
Timothy Paul Cook
Clinical Child & Adolescent Psychologist
18969 Us Route 11
Watertown
, New York 13601-5320
(315) 788-8319
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Timothy Paul Cook
- Po Box 6600
- Watertown, NY
- Zip : 13601-6600
- Fax : (315) 788-8319
- Phone : (315) 782-4391
Second Address
- Timothy Paul Cook
- 18969 Us Route 11
- Watertown, NY
- Zip : 13601-5320
- Phone : (315) 782-4391
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 8150 | NY |
National Provider Identifier
| NPI | 1124172713 |
|---|---|
| Provider Name | Timothy Paul Cook |
| First Address | Watertown, NY 13601-6600 |
| Second Address | Watertown, NY 13601-5320 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.