Provider Demographics
NPI:1447562590
Name:COOK, MARGARET E (MED)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:E
Last Name:COOK
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1193
Mailing Address - Street 2:
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-0193
Mailing Address - Country:US
Mailing Address - Phone:314-370-3669
Mailing Address - Fax:
Practice Address - Street 1:1272 JUNGERMANN ROAD
Practice Address - Street 2:SUITE C
Practice Address - City:ST. PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-6968
Practice Address - Country:US
Practice Address - Phone:636-928-5800
Practice Address - Fax:636-441-3902
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000915101Y00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist