Individual
BRYAN ELLIOTT JESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4100 SPRING VALLEY RD STE 511, DALLAS, TX 75244-3678
(214) 586-0092
Mailing address
4100 SPRING VALLEY RD STE 511, DALLAS, TX 75244-3678
(214) 586-0092
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38020
TX
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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