Individual
DR. LONDON SCOTT RICHARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
939 MISSILE RD, 382 TRS/CC, SUITE 2, SHEPPARD AFB, TX 76311
(940) 676-2397
(940) 676-3633
Mailing address
3 TWELVE OAKS CT, WICHITA FALLS, TX 76310-1467
(940) 696-8853
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 14028
CA
Other
Enumeration date
12/19/2005
Last updated
07/08/2007
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