Individual
DR. KENNETH IVAN O'KRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6210 CAMPBELL RD, SUITE 100, DALLAS, TX 75248-1379
(972) 250-1705
(972) 250-1710
Mailing address
6210 CAMPBELL RD, SUITE 100, DALLAS, TX 75248-1379
(972) 250-1705
(972) 250-1710
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2-3276
TX
103TC0700X
Clinical Psychologist
Primary
2-3276
TX
103TF0000X
Family Psychologist
2-3276
TX
103TR0400X
Rehabilitation Psychologist
2-3276
TX
Other
Enumeration date
12/13/2006
Last updated
12/13/2007
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