Organization
WELLQOR PSYCHOLOGICAL SERVICES OF TEXAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY JOHNSON PSYD (PRESIDENT)
(214) 532-1631
Entity
Organization
Contact information
Practice address
751 HEBRON PKWY STE 240, LEWISVILLE, TX 75057-5122
(469) 549-4200
Mailing address
751 HEBRON PKWY STE 240, LEWISVILLE, TX 75057-5122
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
TX
Other
Enumeration date
10/15/2015
Last updated
12/01/2017
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