Organization · NPI-2

Andrea T Vanderpool, Ph.D., PLLC

Psychologist · Rockwall, TX

NPI number1942437272
StatusActive
Last updated in NPPESJun 15, 2009

Details

NPI
1942437272
Entity type
Organization (NPI-2)
Legal business name
Andrea T Vanderpool, Ph.D., PLLC
Organization subpart
No
Enumeration date
Jun 12, 2009
Last updated
Jun 15, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist33850TXYes

Practice location

2255 Ridge Rd
Suite 210
Rockwall, TX 75087-5155

Phone 972-722-1711 · Fax 972-722-1711

Mailing address

2255 Ridge Rd
Suite 210
Rockwall, TX 75087-5155

Phone 972-722-1711 · Fax 972-722-1711

Authorized official

Andrea T Vanderpool
Director
9727221711

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