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Organization

INTEGRA PSYCHOLOGICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONYA BLAIR-TISCHER MA, PSYD (CLINICAL PSYCHOLOGIST)
(701) 640-9453
Entity
Organization

Contact information

Practice address
611 S HIGHWAY 78 STE 211, WYLIE, TX 75098-4081
(972) 442-0605
Mailing address
611 S HIGHWAY 78 STE 211, WYLIE, TX 75098-4081
(972) 442-0605

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
08/13/2019
Last updated
08/13/2019
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