Healthcare Provider Details

I. General information

NPI: 1225473606
Provider Name (Legal Business Name): CATHY KUO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2013
Last Update Date: 08/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E PARK BLVD SUITE # 640
PLANO TX
75074-5483
US

IV. Provider business mailing address

1509 ANGLEBLUFF LN
PLANO TX
75093-4826
US

V. Phone/Fax

Practice location:
  • Phone: 469-682-0153
  • Fax:
Mailing address:
  • Phone: 469-682-0153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number68172
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: