| Wellspring Psychological Associates, P.l.l.c.wellspring Psycho | |
|
658 Sw 3rd St Grand Prairie TX 75051-1805 | |
| (832) 448-2830 | |
| (832) 448-2801 |
| Full Name | Wellspring Psychological Associates, P.l.l.c.wellspring Psycho |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 658 Sw 3rd St, Grand Prairie, Texas |
| Authorized Official Name and Position | Frank A Fee (OWNER) |
| Authorized Official Contact | 8324482800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Psychological Associates, P.l.l.c.wellspring Psycho 12012 Wickchester Ln Suite 550 Houston TX 77079-1229 Ph: (832) 448-2830 | Wellspring Psychological Associates, P.l.l.c.wellspring Psycho 658 Sw 3rd St Grand Prairie TX 75051-1805 Ph: (832) 448-2830 |
| NPI Number | 1750551867 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750551867 | NPI | - | NPPES |
| 0033QU | Other | TX | BCBS |
| DG5459 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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