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NPI Code Detail

MEDICARE: PRICE PROCTOR & ASSOCIATES LLP

MEDICARE: PRICE PROCTOR & ASSOCIATES LLP
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
1103TF0200XForensic Psychologist

General Provider Information

NPI Number : 1922348838
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRICE PROCTOR & ASSOCIATES LLP
Provider Business Mailing Address
First Line : 11882 GREENVILLE AVE STE 107
Second Line :
City : DALLAS
State : TX
Zip : 75243-3567
Country : US
Telephone Number : 972-644-8686
Fax Number : 972-644-8688
Provider Business Practice Location Address
First Line : 11882 GREENVILLE AVE STE 107
Second Line :
City : DALLAS
State : TX
Zip : 75243-3567
Country : US
Telephone Number : 972-644-8686
Fax Number : 972-644-8688
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. RHANDA HOLDEN
Credential :
Telephone Number : 972-644-8686
Provider Enumeration Date : 03/01/2013
Last Update Date : 03/01/2013

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Directions to “PRICE PROCTOR & ASSOCIATES LLP ” Practice Location

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