Individual
NICOLE R BARTHOLOMEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12200 FORD RD, DALLAS, TX 75234
(682) 703-0587
Mailing address
12650 N BEACH STREET, STE 114, #7094, FORT WORTH, TX 76244
(682) 703-0587
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
37158
TX
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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