Individual
DR. MYRNA VANESSA DARTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4101 MCEWEN RD STE 625, DALLAS, TX 75244-5224
(214) 219-1116
(214) 219-1120
Mailing address
4101 MCEWEN RD STE 625, DALLAS, TX 75244-5224
(214) 219-1116
(214) 219-1120
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154248201
—
TX
01
—
6210885084
MEDICARE
TX
Enumeration date
05/21/2007
Last updated
12/27/2021
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