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2402 W Morton St Suite 114 Denison TX 75020 | |
| (903) 327-8118 | |
| (903) 327-8474 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 2402 W Morton St, Denison, Texas |
| Authorized Official Name and Position | Vivian Alice Collins (PRESIDENT DIRECTOR) |
| Authorized Official Contact | 9033278118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
483 Neva Lane Denison TX 75020 Ph: (903) 327-8118 | 2402 W Morton St Suite 114 Denison TX 75020 Ph: (903) 327-8118 |
| NPI Number | 1376504340 |
|---|---|
| Provider Enumeration Date | 03/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376504340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 15523 (Texas) | Primary |
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