| Adhd Wichita Falls | |
|
2407 Kemp Blvd Suite B Wichita Falls TX 76309-5353 | |
| (940) 228-9732 | |
| Not Available |
| Full Name | Adhd Wichita Falls |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2407 Kemp Blvd, Wichita Falls, Texas |
| Authorized Official Name and Position | Rochelle Diane Granbery (SOLE PROPRIETOR) |
| Authorized Official Contact | 9402289732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adhd Wichita Falls 2407 Kemp Blvd Suite B Wichita Falls TX 76309-5353 Ph: (940) 228-9732 | Adhd Wichita Falls 2407 Kemp Blvd Suite B Wichita Falls TX 76309-5353 Ph: (940) 228-9732 |
| NPI Number | 1326303439 |
|---|---|
| Provider Enumeration Date | 07/05/2012 |
| Last Update Date | 07/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326303439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 11729 (Texas) | Primary |
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