Individual
DR. CHERYL WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1 BEAR PL UNIT 97060, WACO, TX 76798-7060
(254) 710-2467
Mailing address
1 BEAR PL UNIT 97060, WACO, TX 76798-7060
(254) 710-2467
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36380
TX
Other
Enumeration date
09/09/2013
Last updated
07/17/2015
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