Provider Demographics
NPI:1265527915
Name:COGNITIVE SOLUTIONS, PA
Entity type:Organization
Organization Name:COGNITIVE SOLUTIONS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:W
Authorized Official - Last Name:HOUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:432-394-4664
Mailing Address - Street 1:1305 AIRPORT FREEWAY
Mailing Address - Street 2:STE. 205
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021
Mailing Address - Country:US
Mailing Address - Phone:432-394-4664
Mailing Address - Fax:432-242-2932
Practice Address - Street 1:1305 AIRPORT FREEWAY
Practice Address - Street 2:STE. 205
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021
Practice Address - Country:US
Practice Address - Phone:432-394-4664
Practice Address - Fax:432-242-2932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty