Therlively | |
1340 N White Chapel Blvd Ste 130 Southlake TX 76092-4327 | |
(817) 381-5259 | |
Not Available |
Full Name | Therlively |
---|---|
Speciality | Psychologist - Clinical |
Location | 1340 N White Chapel Blvd Ste 130, Southlake, Texas |
Authorized Official Name and Position | Andrea Kirby (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 8173815259 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Therlively 1340 N White Chapel Blvd Ste 130 Southlake TX 76092-4327 Ph: (817) 381-5259 | Therlively 1340 N White Chapel Blvd Ste 130 Southlake TX 76092-4327 Ph: (817) 381-5259 |
NPI Number | 1063282929 |
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Provider Enumeration Date | 01/03/2024 |
Last Update Date | 01/16/2024 |
Certification Date | 01/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063282929 | NPI | - | NPPES |
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