MEDICARE: MS. KATHRYN REAGAN PROTHRO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	50208	TX

General Provider Information

NPI Number	:	1639398423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHRYN REAGAN PROTHRO LCSW

Provider Business Mailing Address
First Line	:	18725 DALLAS PKWY
Second Line	:	APARTMENT 215
City	:	DALLAS
State	:	TX
Zip	:	75287-4239
Country	:	US
Telephone Number	:	214-684-2356
Fax Number	:

Provider Business Practice Location Address
First Line	:	17430 CAMPBELL RD
Second Line	:	SUITE 100
City	:	DALLAS
State	:	TX
Zip	:	75252-5212
Country	:	US
Telephone Number	:	972-732-9555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1154280626 — CASEY LEAMY M.S., LMFT, LCDC
Practice Location Address:

17430 CAMPBELL RD
DALLAS, TX
75252-5212

Practice Phone: 214-535-2999
Practice Fax:

1891844775 — SHERINE E. RENO M.D.
Practice Location Address:

17430 CAMPBELL RD STE E114
DALLAS, TX
75252-5212

Practice Phone: 214-342-0400
Practice Fax: 214-342-0406

1881744621 — DR. GERALDINE SHERRY HUEY YOU M.D.
Practice Location Address:

17430 CAMPBELL RD , SUITE 100
DALLAS, TX
75252-5212

Practice Phone: 972-250-6450
Practice Fax: 972-250-6332

1336283738 — MRS. SUSANNE HAIR LCSW
Practice Location Address:

17430 CAMPBELL RD , SUITE 100
DALLAS, TX
75252-5212

Practice Phone: 972-732-9555
Practice Fax: 972-250-6332

1275752206 — SUSIE HAIR, PLLC, LCSW
Practice Location Address:

17430 CAMPBELL RD , SUITE 100
DALLAS, TX
75252-5212

Practice Phone: 972-732-9555
Practice Fax: 972-250-6332

1508285354 — NATALIE NICHOLS-JONES PSY.D.
Practice Location Address:

17430 CAMPBELL RD , STE 200
DALLAS, TX
75252-5212

Practice Phone: 214-305-8217
Practice Fax:

Directions to “ MS. KATHRYN REAGAN PROTHRO LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.