Provider Demographics
NPI:1316038102
Name:COOK, EDITH L
Entity Type:Individual
Prefix:
First Name:EDITH
Middle Name:L
Last Name:COOK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 N PROGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-9100
Mailing Address - Country:US
Mailing Address - Phone:717-233-7290
Mailing Address - Fax:
Practice Address - Street 1:3601 N PROGRESS AVE
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9100
Practice Address - Country:US
Practice Address - Phone:717-233-7290
Practice Address - Fax:717-810-1841
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)