SearchTexas103K00000X

Cortney Simo Fossouo, BCBA

NPI 1609388578 · on the registry since 2017 · sole proprietor

Practice

Address
611 S Highway 78 Ste 124
Wylie, TX 75098
Phone
(972) 429-5700
Organisation at this address
Optcare Llc
Hand Functions Llc
New Life Chiropractic Llc
North Texas Therapy Services
Integra Psychological Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Additional practice sites

  • 15820 Addison Rd, Addison, TX
  • 406 Kamber Ln, Wylie, TX

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas