Jerome Douglas Cook in Johnson City - Clinical
Jerome Douglas Cook - NPI 1194748194
Jerome Douglas Cook is a Clinical in Johnson City, Tennessee. Jerome Douglas Cook practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerome Douglas Cook is 1194748194. The last update date is 2007-07-08.
Jerome Douglas Cook's current location address is James H. Quillen Vamc, Johnson City, Tennessee. You can contact this provider via phone number 4239792775 and fax number 4239793447. The mailing address for Jerome Douglas Cook is James H. Quillen Vamc, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Douglas Cook |
|---|---|
| Address | James H. Quillen Vamc, Johnson City, Tennessee |
| Phone Number | 4239792775 |
| Fax Number | 4239793447 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1194748194 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | James H. Quillen Vamc |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 37684 |
| Phone Number | 4239792775 |
| Fax Number | 4239793447 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | P0000001732 |
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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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What is the Jerome Douglas Cook's 1194748194?
The Jerome Douglas Cook's NPI (National Provider Identifier) Number is 1194748194. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jerome Douglas Cook's physical address?
The Jerome Douglas Cook is physically located at James H. Quillen Vamc, in the city of Johnson City, TN, with the postal code 37684.
What is Jerome Douglas Cook's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jerome Douglas Cook is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When did Jerome Douglas Cook receive its 1194748194 assignment?
The Jerome Douglas Cook was assigned its 1194748194 on 2006-07-25, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jerome Douglas Cook last refreshed?
The information related to the Jerome Douglas Cook, including its address, specialty, and other relevant details, was last updated on 2007-07-08.