Individual
DR. DEBORAH A. MISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
175 WESTWOOD DR, SUITE 300, SOUTHLAKE, TX 76092-7907
(817) 239-6530
Mailing address
175 WESTWOOD DR, SUITE 300, SOUTHLAKE, TX 76092-7907
(817) 239-6530
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32617
TN
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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