Individual
DENISE FRAZIER BARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4630 50TH ST, SUITE 509, LUBBOCK, TX 79414-3521
(806) 771-8808
(806) 771-8809
Mailing address
3511 43RD ST, LUBBOCK, TX 79413-3031
(806) 239-4379
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31276
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86984A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/08/2006
Last updated
07/08/2007
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