| NPI | 1508578121 |
|---|---|
| Other Name | COOK CHILDREN'S PSYCHOLOGY PROSPER |
| Entity Type | Organization |
| Authorized Contact | CORY R RHOADES Chief Financial Officer 682-885-4880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103T00000X Psychologist | |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2024-06-10 |