Provider Demographics
NPI:1164055844
Name:COOK, ROBERT II (DR)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:COOK
Suffix:II
Gender:M
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 W 40TH ST UNIT 2225
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37409-1379
Mailing Address - Country:US
Mailing Address - Phone:423-486-0774
Mailing Address - Fax:423-405-6346
Practice Address - Street 1:1201 S SEMINOLE DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37412-1135
Practice Address - Country:US
Practice Address - Phone:423-486-0774
Practice Address - Fax:423-405-6346
Is Sole Proprietor?:No
Enumeration Date:2020-02-20
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral