Individual
DR. CHRIS L POULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
2237 RIDGE RD, STE 101, ROCKWALL, TX 75087-5164
(972) 771-3969
(972) 771-8258
Mailing address
2237 RIDGE RD, STE 101, ROCKWALL, TX 75087-5164
(972) 771-3969
(972) 771-8258
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31441
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31441
LICENSE
TX
Enumeration date
09/07/2006
Last updated
12/06/2007
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