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Organization
WEST PLANO PSYCHOLOGICAL SERVICES, INC.
Active
Organization
WEST PLANO PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A RADTKE MED (LPC, LMFT)
(972) 824-6177
Entity
Organization
Contact information
Practice address
5055 W PARK BLVD STE 400, PLANO, TX 75093-2590
(972) 824-6577
Mailing address
5055 W PARK BLVD STE 400, PLANO, TX 75093-2590
(972) 824-6577
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
06/15/2020
Last updated
01/29/2025
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