Jason T. Cook is a Clinical in Fort Wayne, Indiana. Jason T. Cook practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jason T. Cook is 1043283641. The last update date is 2019-10-02.
Jason T. Cook's current location address is 7230 Engle Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604832400 and fax number 2609609361. The mailing address for Jason T. Cook is 7230 Engle Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason T. Cook |
|---|---|
| Address | 7230 Engle Rd, Fort Wayne, Indiana |
| Phone Number | 2604832400 |
| Fax Number | 2609609361 |
| Sole Proprietor | N |
| Credentials | PSY.D., HS |
NPI Number Detail
| NPI Number | 1043283641 |
|---|---|
| Provider Enumeration Date | 2006-02-13 |
| Last Updated Date | 2019-10-02 |
Provider Mailing Address Detail
| Address | 7230 Engle Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468042209 |
| Phone Number | 2604832400 |
| Fax Number | 2609609361 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20041587A |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200290630 | IN | -- |
Post Comment/ Review Below
What is the Jason T. Cook's unique identification number?
The Jason T. Cook has been assigned the NPI (National Provider Identifier) Number 1043283641 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jason T. Cook's physical address?
The Jason T. Cook is physically located at 7230 Engle Rd, in the city of Fort Wayne, IN, with the postal code 468042209.
What is the Jason T. Cook's area of specialization and corresponding taxonomy classification?
The Jason T. Cook's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When was the Jason T. Cook's 1043283641 issued?
The Jason T. Cook's 1043283641 was issued on 2006-02-13.
As of what date was the information pertaining to Jason T. Cook, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jason T. Cook, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-10-02.