| Susan D Gifford Phd, Pc | |
|
3508 Highway 121 Bedford TX 76021-3125 | |
| (817) 858-6745 | |
| (866) 341-1114 |
| Full Name | Susan D Gifford Phd, Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3508 Highway 121, Bedford, Texas |
| Authorized Official Name and Position | Susan D Gifford (OWNER) |
| Authorized Official Contact | 8178586745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan D Gifford Phd, Pc 3508 Highway 121 Bedford TX 76021-3125 Ph: (817) 858-6745 | Susan D Gifford Phd, Pc 3508 Highway 121 Bedford TX 76021-3125 Ph: (817) 858-6745 |
| NPI Number | 1396151700 |
|---|---|
| Provider Enumeration Date | 07/07/2014 |
| Last Update Date | 07/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396151700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2-2020 (Texas) | Primary |
| 103TC0700X | Psychologist - Clinical | 36622 (Texas) | Secondary |
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