Provider Demographics
NPI:1689818049
Name:ROOK, ROBERTA PAULA (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:ROBERTA
Middle Name:PAULA
Last Name:ROOK
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8724 JERICHO CITY DR
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4761
Mailing Address - Country:US
Mailing Address - Phone:301-499-4500
Mailing Address - Fax:301-499-7876
Practice Address - Street 1:8724 JERICHO CITY DR
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-4761
Practice Address - Country:US
Practice Address - Phone:301-499-4500
Practice Address - Fax:301-499-7876
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1205101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional