Provider Demographics
NPI:1164541595
Name:MARJORIE A. KOSOY, ED.D.PC
Entity Type:Organization
Organization Name:MARJORIE A. KOSOY, ED.D.PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:KOSOY
Authorized Official - Suffix:
Authorized Official - Credentials:EDDPC
Authorized Official - Phone:713-621-2700
Mailing Address - Street 1:6300 WEST LOOP SOUTH
Mailing Address - Street 2:SUITE 240
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401
Mailing Address - Country:US
Mailing Address - Phone:713-621-2700
Mailing Address - Fax:713-839-7644
Practice Address - Street 1:6300 WEST LOOP SOUTH
Practice Address - Street 2:SUITE 240
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401
Practice Address - Country:US
Practice Address - Phone:713-621-2700
Practice Address - Fax:713-839-7644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22131103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherPSYCOLOGIST