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Contact Information

TRAVIS A COOK, PhD
940 BELMONT ST
116B
BROCKTON, MA02301-5596
 Phone: 508-583-4500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TRAVIS A COOK · (Male)

NPI Number 1528205556
Status Active
Credentials PhD
Entity Individual
Enumeration date 01/13/2009
Last updated 10/15/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • RI License # PS01128
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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