Organization
TEXAS INSTITUTE FOR NEUROSCIENCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNSEY COOPER (OFFICE MANAGER)
(214) 361-6092
Entity
Organization
Contact information
Practice address
5425 W SPRING CREEK PKWY, SUITE 270, PLANO, TX 75024-4236
(214) 361-6092
(214) 481-4556
Mailing address
PO BOX 2160, BOULDER, CO 80306-2160
(214) 361-6092
(214) 481-4556
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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