| Pf Dover Counseling | |
|
515 W Southlake Blvd Suite Number 172 Southlake TX 76092-6172 | |
| (309) 363-2544 | |
| Not Available |
| Full Name | Pf Dover Counseling |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 515 W Southlake Blvd, Southlake, Texas |
| Authorized Official Name and Position | Scott Smith (OWNER) |
| Authorized Official Contact | 3093632544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pf Dover Counseling 515 W Southlake Blvd Ste 172 Southlake TX 76092-6172 Ph: () - | Pf Dover Counseling 515 W Southlake Blvd Suite Number 172 Southlake TX 76092-6172 Ph: (309) 363-2544 |
| NPI Number | 1043563877 |
|---|---|
| Provider Enumeration Date | 10/17/2012 |
| Last Update Date | 10/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043563877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 69365 (Texas) | Primary |
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