| Jeanette Doster, Ph.d., P.c. | |
|
2205 Shadow Creek Ct Southlake TX 76092-3400 | |
| (682) 667-6505 | |
| Not Available |
| Full Name | Jeanette Doster, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist - School |
| Location | 2205 Shadow Creek Ct, Southlake, Texas |
| Authorized Official Name and Position | Jeanette Doster (PRESIDENT, PSYCHOLOGIST) |
| Authorized Official Contact | 6826676505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanette Doster, Ph.d., P.c. 2205 Shadow Creek Ct Southlake TX 76092-3400 Ph: (682) 667-6505 | Jeanette Doster, Ph.d., P.c. 2205 Shadow Creek Ct Southlake TX 76092-3400 Ph: (682) 667-6505 |
| NPI Number | 1679783492 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679783492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 21708 (Texas) | Primary |
| 103TS0200X | Psychologist - School | 6463 (Texas) | Primary |
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