Organization
CHANGE-WELL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANN SANFORD PSYD (OWNER)
(972) 589-8121
Entity
Organization
Contact information
Practice address
1820 PRESTON PARK BLVD STE 2200, PLANO, TX 75093-3614
(972) 427-2050
Mailing address
1820 PRESTON PARK BLVD STE 2200, PLANO, TX 75093-3614
(972) 589-8121
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
12/13/2022
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