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NPI Code Detail

MEDICARE: PATRICIA COOK BA

MEDICARE: PATRICIA COOK BA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1609310978
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA COOK BA
Provider Business Mailing Address
First Line : 5640 READ BLVD
Second Line : SUITE 740
City : NEW ORLEANS
State : LA
Zip : 70127-3140
Country : US
Telephone Number : 504-245-2440
Fax Number : 504-245-4284
Provider Business Practice Location Address
First Line : 11110 WHITESIDE RD
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70128-2233
Country : US
Telephone Number : 678-367-7567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2016
Last Update Date : 12/06/2016

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Directions to “ PATRICIA COOK BA” Practice Location

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