| 14 Peaks Neurophysiological Trauma Treatment | |
|
395 Pitchfork Trl Willow Park TX 76087-3260 | |
| (313) 314-7325 | |
| Not Available |
| Full Name | 14 Peaks Neurophysiological Trauma Treatment |
|---|---|
| Speciality | Counselor - Professional |
| Location | 395 Pitchfork Trl, Willow Park, Texas |
| Authorized Official Name and Position | Kimberly Dunkin (OWNER) |
| Authorized Official Contact | 3133147325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 14 Peaks Neurophysiological Trauma Treatment 395 Pitchfork Trl Ste 906 Willow Park TX 76087-3266 Ph: (313) 314-7325 | 14 Peaks Neurophysiological Trauma Treatment 395 Pitchfork Trl Willow Park TX 76087-3260 Ph: (313) 314-7325 |
| NPI Number | 1568220796 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568220796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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