Individual
JESSE C INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5201 S WESTMORELAND RD, DALLAS, TX 75237-1622
(214) 339-2047
(214) 339-2049
Mailing address
5201 S WESTMORELAND RD, DALLAS, TX 75237-1622
(214) 339-2047
(214) 339-2049
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23078
TX
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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