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Organization

IMPACT PSYCHOLOGICAL ASSESSMENTS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHELSEA CLICQUE LP, LPC (OWNER)
(972) 762-0956
Entity
Organization

Contact information

Practice address
1175 KINWEST PKWY STE 100, IRVING, TX 75063-3409
(214) 940-9089
(469) 314-8706
Mailing address
4135 WYCLIFF AVE APT 6, DALLAS, TX 75219-3089
(903) 530-0731

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
07/04/2023
Last updated
07/04/2023
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