| Texas Child Psychological Services, Pllc | |
|
532 Silicon Dr Ste 102 Southlake TX 76092-9018 | |
| (817) 381-6298 | |
| (817) 381-6298 |
| Full Name | Texas Child Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 532 Silicon Dr Ste 102, Southlake, Texas |
| Authorized Official Name and Position | Ashley Michelle Smith (OWNER & LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8173816298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Child Psychological Services, Pllc 6433 Dolan Falls Dr Northlake TX 76226-2560 Ph: (210) 865-4010 | Texas Child Psychological Services, Pllc 532 Silicon Dr Ste 102 Southlake TX 76092-9018 Ph: (817) 381-6298 |
| NPI Number | 1164145769 |
|---|---|
| Provider Enumeration Date | 09/20/2022 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164145769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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