Provider Demographics
NPI:1669669461
Name:COOK, MARGARET PLUMMER (PSYD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:PLUMMER
Last Name:COOK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:PLUMMER
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:45 LYMAN ST
Mailing Address - Street 2:SUITE 21
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-2628
Mailing Address - Country:US
Mailing Address - Phone:508-795-3447
Mailing Address - Fax:508-366-2013
Practice Address - Street 1:45 LYMAN ST
Practice Address - Street 2:SUITE 21
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-2628
Practice Address - Country:US
Practice Address - Phone:508-795-3447
Practice Address - Fax:508-366-2013
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-26
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9085103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent