Provider Information for 1659528297
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NATASHA COOK Psy.D.
Sex: Female
NPI: 1659528297
Last Updated: 2023-09-21
Certification Date: 2023-09-21
Certification Date: 2023-09-21
Details
Name | Value | ||||||||||||||||
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NPI | 1659528297 | ||||||||||||||||
Enumeration Date | 2008-08-26 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 24947 VIRGINIA JUNIPER CT ALDIE, VA 20105-6234 United States Phone: 703-439-8417 | Fax: | ||||||||||||||||
Primary Practice Address | 24947 VIRGINIA JUNIPER CT ALDIE, VA 20105-6234 United States Phone: 703-439-8417 | Fax: | ||||||||||||||||
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