Organization
INTEGRATED PSYCHOLOGICAL ASSOC PLLC
Active
Other names
Chrysalis Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZANE DODD PHD (CEO/ DIRECTOR, CLINICAL SERVICES)
(817) 416-8970
Entity
Organization
Contact information
Practice address
1130 N KIMBALL AVE # 130, SOUTHLAKE, TX 76092-5567
(817) 349-2888
Mailing address
808 ROY LN, KELLER, TX 76248-2623
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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