Organization
COOK CHILDREN'S MEDICAL CENTER
Active
Other names
Cook Children's Psychology Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
CORY R RHOADES (CHIEF FINANCIAL OFFICIER)
(682) 885-4480
Entity
Organization
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-1480
(682) 885-3600
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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