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Contact Information

KORTNEY D WOOTEN, PHD
2102 WEST LOOP 289
APARTMENT 104 BUILDING 23
LUBBOCK, TX79407
 Phone: 225-328-7511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KORTNEY D WOOTEN · (Female)

NPI Number 1134940067
Status Active
Credentials PHD
Entity Individual
Enumeration date 10/23/2024
Last updated 10/23/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TX License # 40206
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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