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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

Details

NameValue
NPI1659528297
Enumeration Date2008-08-26
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
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:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
CONNECT URL
Gmail
24947 Virginia Juniper Ct
Aldie, VA 20105-6234
United States
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 103T00000X - Psychologist DCPSY1000417
No 103T00000X - Psychologist MD04554
Yes 103TC0700X - Psychologist - ClinicalVA0810005921