Individual
REBECCA L COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 S UNIVERSITY DR # 1083, FORT WORTH, TX 76107-6524
(424) 259-1761
Mailing address
1660 S UNIVERSITY DR # 1083, FORT WORTH, TX 76107-6524
(424) 259-1761
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20043845A
IN
103TC0700X
Clinical Psychologist
20043845B
IN
103TC0700X
Clinical Psychologist
Primary
40464
TX
Other
Enumeration date
11/04/2016
Last updated
11/22/2024
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