| NPI | 1164105458 |
|---|---|
| Doing Business As | COOK CHILDREN'S DEVELOPMENTAL PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | CORY R RHOADES Chief Financial Officer 682-885-4480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-08-11 |