Individual
DR. JEFFREY MICHAEL VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2237 RIDGE RD STE 101, ROCKWALL, TX 75087-5161
(972) 771-3969
(972) 771-8258
Mailing address
2237 RIDGE RD STE 101, ROCKWALL, TX 75087-5161
(972) 771-3969
(972) 771-8258
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11563
NE
Other
Enumeration date
07/19/2018
Last updated
10/29/2020
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