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Individual

DORTHY FLOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1200 E. BRIN ST., TERRELL, TX 75160
(972) 524-6452
Mailing address
PO BOX 70, TERRELL, TX 75160-9000
(972) 524-6452

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23065
TX
103TA0400X
Addiction (Substance Use Disorder) Psychologist
23065
TX
103TC2200X
Clinical Child & Adolescent Psychologist
23065
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23065
TX ST BOARD OF EXAM
TX
Enumeration date
12/13/2006
Last updated
09/08/2008
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