Provider Demographics
NPI:1942202312
Name:COOK-COTTONE, CATHERINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:COOK-COTTONE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 MOUNT VERNON RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4321
Mailing Address - Country:US
Mailing Address - Phone:716-440-5597
Mailing Address - Fax:716-636-4501
Practice Address - Street 1:4476 MAIN ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14226-4463
Practice Address - Country:US
Practice Address - Phone:716-440-5597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013978103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist