Cody L. Bullock, Ph.D.
Psychologist, Clinical in Harlingen, TX. Individual provider (NPI-1).
NPI number1407124381
StatusActive
Last updated in NPPESFeb 27, 2013
Details
- NPI
- 1407124381
- Entity type
- Individual (NPI-1)
- Name
- Cody L. Bullock
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2011
- Last updated
- Feb 27, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | LP2109 | KS | Yes |
Practice location
2601 Veterans DrDr. Bullock - 116b
Harlingen, TX 78550
Phone 956-291-9201
Mailing address
2601 Veterans DrDr. Bullock - 116b
Harlingen, TX 78550
Phone 956-291-9201
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