PSYCHOLOGICAL WELLNESS & ASSESSMENT, PLL


Address: 5646 Milton St Ste 434, Dallas, TX 75206-3932
Phone: 9728632232

PSYCHOLOGICAL WELLNESS & ASSESSMENT, PLL (NPI# 1518201946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518201946
Entity Type Organization
Organization Name PSYCHOLOGICAL WELLNESS & ASSESSMENT, PLL
Practice Address 5646 Milton St Ste 434
Dallas
TX 75206-3932
Practice Telephone 9728632232
Mailing Telephone 9728632232
Enumeration Date 2012-11-26
Last Update Date 2012-11-26
Authorized Official Name DR. JENNIFER WOLF BRADFORD (LICENSED PSYCHOLOGIST)
Authorized Official Telephone 9728632232
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP2500X Counselor
Specialization: Professional
17483 TX Behavioral Health & Social Service Providers
Y 103TC1900X Psychologist
Specialization: Counseling
36341 TX Behavioral Health & Social Service Providers

Office Location

Street Address 5646 MILTON ST STE 434
City DALLAS
State TX
Zip Code 75206-3932

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1558883611 Justine Kallaugher Psychologist 11551 Forest Central Dr Ste 200, Dallas, TX 75243-3966 2017-07-11
1740636273 Felicia Darnell Fisher Psychologist 13140 Coit Rd Ste 323, Dallas, TX 75240-5769 2016-05-13
1104272491 Christina Lynne Wise Psychologist 10427 Cromwell Dr, Dallas, TX 75229-5949 2016-05-05
1619116100 Martin C. Vega Psychologist 2815 Reagan St, #2, Dallas, TX 75219-7117 2009-02-06
1932361946 Kimberly Ann Horn Psychologist 7151 Gaston Ave, #102, Dallas, TX 75214-4145 2008-06-30
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Competitor

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City DALLAS
Zip Code 75206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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