Individual
NANCY ILLBACK COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4500 BISSONNET ST, SUITE 335, BELLAIRE, TX 77401-3120
(713) 666-6898
Mailing address
4500 BISSONNET ST, SUITE 335, BELLAIRE, TX 77401-3120
(713) 666-6898
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
24908
TX
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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