Healthcare Provider Details

I. General information

NPI: 1922348838
Provider Name (Legal Business Name): PRICE PROCTOR & ASSOCIATES LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2013
Last Update Date: 03/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11882 GREENVILLE AVE STE 107
DALLAS TX
75243-3567
US

IV. Provider business mailing address

11882 GREENVILLE AVE STE 107
DALLAS TX
75243-3567
US

V. Phone/Fax

Practice location:
  • Phone: 972-644-8686
  • Fax: 972-644-8688
Mailing address:
  • Phone: 972-644-8686
  • Fax: 972-644-8688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. RHANDA HOLDEN
Title or Position: OFFICE MANAGER
Credential:
Phone: 972-644-8686