Dallas Neuropsychology PLLC
Clinical Neuropsychologist in Rockwall, TX. Organization (NPI-2).
NPI number1407399983
StatusActive
Last updated in NPPESApr 23, 2024
Details
- NPI
- 1407399983
- Entity type
- Organization (NPI-2)
- Legal business name
- Dallas Neuropsychology PLLC
- Organization subpart
- No
- Enumeration date
- Dec 1, 2016
- Certification date
- Apr 23, 2024
- Last updated
- Apr 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 37022 | TX | Yes |
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | – | – |
Practice location
777 Justin RdRockwall, TX 75087-4840
Phone 214-620-5580 · Fax 469-264-5037
Mailing address
777 Justin RdRockwall, TX 75087-4840
Phone 214-620-5580 · Fax 469-264-5037
Authorized official
Brandi Buchanan
Owner/Psychologist
2146205580
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