Organization
CORTICA DEVELOPMENTAL THERAPIES PA
Active
Organization
CORTICA DEVELOPMENTAL THERAPIES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE GOH-HATTANGADI MD (OWNER/CHIEF MEDICAL OFFICER)
(858) 216-8837
Entity
Organization
Contact information
Practice address
5025 W PARK BLVD STE 300, PLANO, TX 75093-2585
(972) 665-8484
(469) 409-4557
Mailing address
6160 CORNERSTONE CT E STE 100, SAN DIEGO, CA 92121-3724
(858) 216-8837
(888) 383-0040
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
09/15/2025
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