Healthcare Provider Details

I. General information

NPI: 1356843593
Provider Name (Legal Business Name): BRITTANY ESCURIEX PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2018
Last Update Date: 09/28/2022
Certification Date: 09/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12720 HILLCREST RD STE 106
DALLAS TX
75230-7121
US

IV. Provider business mailing address

12720 HILLCREST RD STE 106
DALLAS TX
75230-7121
US

V. Phone/Fax

Practice location:
  • Phone: 214-417-5328
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number36767
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: