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NPI Code Detail

MEDICARE: DANIEL KRALL PSYCHOLOGIST

MEDICARE: DANIEL KRALL PSYCHOLOGIST
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
1103TC0700XClinical Psychologist33604TX

General Provider Information

NPI Number : 1679083943
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL KRALL PSYCHOLOGIST
Provider Business Mailing Address
First Line : 2732 WESTGLEN DR
Second Line :
City : DENTON
State : TX
Zip : 76207-1334
Country : US
Telephone Number : 940-383-0103
Fax Number :
Provider Business Practice Location Address
First Line : 505 W CENTERVILLE RD
Second Line :
City : GARLAND
State : TX
Zip : 75041-5445
Country : US
Telephone Number : 972-677-7951
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2017
Last Update Date : 10/02/2017

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