Individual
DAVID FAY THARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
39 INDEPENDENCE TRL, WACO, TX 76708-9603
(979) 219-2160
Mailing address
39 INDEPENDENCE TRL, WACO, TX 76708-9603
(979) 219-2160
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32172
TX
Other
Enumeration date
09/17/2006
Last updated
06/06/2011
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