MEDICARE: ELIZABETH COOK PH.D.

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
1	103G00000X	Clinical Neuropsychologist	5105	OH
2	103T00000X	Psychologist	5105	OH
3	103TR0400X	Rehabilitation Psychologist	5105	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023029758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH COOK PH.D.

Provider Business Mailing Address
First Line	:	480 MEDICAL CENTER DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43210-1229
Country	:	US
Telephone Number	:	614-293-7604
Fax Number	:	614-366-3809

Provider Business Practice Location Address
First Line	:	480 W. 9TH AVENUE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43210
Country	:	US
Telephone Number	:	614-293-7604
Fax Number	:	614-366-3809

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	09/28/2016

Similar Medicare Providers

1386349942 — AASTHA DHAKAL
Practice Location Address:

460 W 10TH AVE
COLUMBUS, OH
43210-1240

Practice Phone: 800-293-5066
Practice Fax:

1831990795 — DR. KATHRYN COSTELLO DO
Practice Location Address:

395 W 12TH AVE RM 414
COLUMBUS, OH
43210-1267

Practice Phone: 614-366-0768
Practice Fax:

1174227425 — FLAVIO FERNANDO BONILLA MD, MS
Practice Location Address:

460 W 10TH AVE
COLUMBUS, OH
43210-1240

Practice Phone: 614-293-7499
Practice Fax: 614-366-2360

1427613959 — ALEX P. KEGELMEYER APRN.CNP
Practice Location Address:

410 W 10TH AVE
COLUMBUS, OH
43210-1240

Practice Phone: 614-293-8315
Practice Fax: 614-293-6935

1053636308 — MICHAEL JAMES WERT
Practice Location Address:

520 W 10TH AVE
COLUMBUS, OH
43210-1328

Practice Phone: 614-293-4925
Practice Fax: 614-293-5503

1225985757 — HUE TRAN
Practice Location Address:

1577 NEIL AVE
COLUMBUS, OH
43210-1216

Practice Phone: 614-292-4041
Practice Fax:

1508132721 — JASON DAVID LATHER MD
Practice Location Address:

395 W 12TH AVE
COLUMBUS, OH
43210-1267

Practice Phone: 614-293-8315
Practice Fax: 614-293-6935

Directions to “ ELIZABETH COOK PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.