Dr. Clyde O Hanks, PhD
Psychologist, Clinical in Desoto, TX. Individual provider (NPI-1).
NPI number1114945649
StatusActive
Last updated in NPPESApr 29, 2019
Details
- NPI
- 1114945649
- Entity type
- Individual (NPI-1)
- Name
- Dr. Clyde O Hanks
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2006
- Last updated
- Apr 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 24895 | TX | Yes |
| 106H00000X | Marriage & Family Therapist | 3853 | TX |
Practice location
1438 Marlene PlDesoto, TX 75115-2907
Phone 214-850-6580
Mailing address
1438 Marlene PlDesoto, TX 75115-2907
Phone 214-850-6580
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychologist, Clinical providers in Desoto, TX
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.