Individual
ALLYSON WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12801 N CENTRAL EXPY STE 1560, DALLAS, TX 75243
(469) 607-8973
Mailing address
12801 N CENTRAL EXPY STE 1560, DALLAS, TX 75243-1886
(469) 607-8973
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
37583
TX
Other
Enumeration date
04/14/2017
Last updated
05/18/2019
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