Provider Demographics
NPI:1982488227
Name:COOK, SYDNEY MACHELLE
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:MACHELLE
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 1:969 NE WARNER PL APT 306B
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-7394
Mailing Address - Country:US
Mailing Address - Phone:541-588-0813
Mailing Address - Fax:
Practice Address - Street 1:969 NE WARNER PL APT 306B
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-7394
Practice Address - Country:US
Practice Address - Phone:541-588-0813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker