CORTICA DEVELOPMENTAL THERAPIES PA NPI 1619554680

NPI Information

NPI: 1619554680
Provider Name: CORTICA DEVELOPMENTAL THERAPIES PA
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
5085 W PARK BLVD STE 200
PLANO, TX
ZIP 75093
Phone: (858) 216-8837
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CORTICA DEVELOPMENTAL THERAPIES PA is a multi-specialty clinic center in Plano, TX. CORTICA DEVELOPMENTAL THERAPIES PA NPI is 1619554680. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5085 W PARK BLVD STE 200
PLANO, TX
ZIP 75093-000
Phone: (858) 216-8837
Fax: (888) 383-0040

The provider's authorized official is Suzanne Goh-hattangadi .
The authorized official title is Owner/chief Medical Officer and has the following contact phone number (858) 216-8837.

The enumeration date for this NPI number is 3/25/2021 and was last updated on 11/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2080P0008X	Pediatrics	Neurodevelopmental Disabilities	No
2	261QD1600X	Clinic/Center	Developmental Disabilities	No
3	261QM1300X	Clinic/Center	Multi-Specialty	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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