NPI 1043283641

Jason T. Cook, PSYDHSPP

Practitioner Clinical Psychologist Fort Wayne, IN

Practice location

Address: 7230 Engle Rd STE 304, Fort Wayne, IN 46804-2209
Phone: (260) 483-2400
Fax: (260) 960-9361

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 20041587A (IN)

Other Psychologist providers in Indiana →

Registry record

NPI: 1043283641
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2006
Record last updated: 2 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.