Healthcare Provider Details

I. General information

NPI: 1760567861
Provider Name (Legal Business Name): ROBERT G COOK PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 EAST COY SMITH HIGHWAY
MT VERNON AL
36560
US

IV. Provider business mailing address

725 EAST COY SMITH HIGHWAY
MT VERNON AL
36560
US

V. Phone/Fax

Practice location:
  • Phone: 251-662-6700
  • Fax: 251-829-5385
Mailing address:
  • Phone: 251-662-6700
  • Fax: 251-829-5385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number133
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: