Organization
NORTH TEXAS ADOLESCENT AND YOUNG ADULT PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADE C MCDONALD PHD (CLINICAL DIRECTOR)
(214) 763-9595
Entity
Organization
Contact information
Practice address
8668 JOHN HICKMAN PKWY STE 601, FRISCO, TX 75034-9385
(972) 299-0127
(844) 809-6223
Mailing address
PO BOX 250913, PLANO, TX 75025-0913
(972) 299-0127
(844) 809-6223
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
Other
Enumeration date
09/04/2019
Last updated
05/11/2020
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