| Davisson Behavioral And Social Ser | |
|
12900 Preston Rd Ste 1117 Dallas TX 75230-1329 | |
| (972) 480-0000 | |
| Not Available |
| Full Name | Davisson Behavioral And Social Ser |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 12900 Preston Rd, Dallas, Texas |
| Authorized Official Name and Position | Tom Davisson (FRONT OFFICE MANAGER) |
| Authorized Official Contact | 9724800000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davisson Behavioral And Social Ser 12900 Preston Rd Ste 1117 Dallas TX 75230-1329 Ph: (972) 480-0000 | Davisson Behavioral And Social Ser 12900 Preston Rd Ste 1117 Dallas TX 75230-1329 Ph: (972) 480-0000 |
| NPI Number | 1225225451 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225225451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20431 (Texas) | Primary |
| 103TE1100X | Psychologist - Exercise & Sports | 20431 (Texas) | Secondary |
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