Individual
DR. TIMOTHY ALAN INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-1272
(214) 630-3625
Mailing address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-1272
(214) 630-3625
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24513
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000K75HG
—
TX
Enumeration date
08/19/2008
Last updated
09/22/2016
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