Individual
PHILLIP PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSSP, NCSP
Contact information
Practice address
5707 ROYAL LN, DALLAS, TX 75229-5500
(214) 265-4122
Mailing address
5707 ROYAL LN, DALLAS, TX 75229-5500
(214) 265-4122
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
70300
TX
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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