Individual
DESIREE WILMETTA KILCREASE-FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5501 BRYAN ST, DALLAS, TX 75206-8103
(214) 828-2603
(214) 828-4954
Mailing address
5501 BRYAN ST, DALLAS, TX 75206-8103
(214) 828-2603
(214) 828-4954
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
25363
TX
103TC0700X
Clinical Psychologist
Primary
25363
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173558101
—
TX
Enumeration date
08/03/2005
Last updated
06/03/2020
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