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Organization
COOK CHILDREN'S MEDICAL CENTER - PROSPER
Active
Organization
COOK CHILDREN'S MEDICAL CENTER - PROSPER
Active
Parent organization
COOK CHILDREN'S MEDICAL CENTER - PROSPER
Other names
Cook Children's Psychology Prosper
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK CHILDREN'S MEDICAL CENTER - PROSPER
Authorized official
CORY R RHOADES (CHIEF FINANCIAL OFFICER)
(682) 885-4880
Entity
Organization
Contact information
Practice address
4200 W UNIVERSITY DR, PROSPER, TX 75078-9805
(940) 484-4311
Mailing address
PO BOX 730108, DALLAS, TX 75373-0108
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
06/10/2024
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