Individual
DR. MARY ANN COTTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
201 E PEARL ST STE C-208, GRANBURY, TX 76048-2177
(817) 573-5891
(817) 732-8015
Mailing address
PO BOX 2458, GRANBURY, TX 76048-7458
(817) 573-5891
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0791
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0966426-05
—
TX
01
—
1730190752
NPI
TX
05
—
433837777
—
NM
Enumeration date
08/11/2006
Last updated
12/16/2021
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