Organization
SUSAN D GIFFORD PHD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN D GIFFORD PH.D. (OWNER)
(817) 858-6745
Entity
Organization
Contact information
Practice address
3508 HIGHWAY 121, BEDFORD, TX 76021-3125
(817) 858-6745
(866) 341-1114
Mailing address
3508 HIGHWAY 121, BEDFORD, TX 76021-3125
(817) 858-6745
(866) 341-1114
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-2020
TX
103TC0700X
Clinical Psychologist
36622
TX
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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