Individual
MICKIE COTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17500 FM 2186, AMARILLO, TX 79119-6725
(066) 811-0348
Mailing address
17500 FM 2186, AMARILLO, TX 79119-6725
(066) 811-0348
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25058
TX
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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