Organization
PSYCHOLOGICAL WELLNESS & ASSESSMENT, PLL
Active
Organization
PSYCHOLOGICAL WELLNESS & ASSESSMENT, PLL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER WOLF BRADFORD PHD (LICENSED PSYCHOLOGIST)
(972) 863-2232
Entity
Organization
Contact information
Practice address
5646 MILTON ST STE 434, DALLAS, TX 75206-3932
(972) 863-2232
Mailing address
5646 MILTON ST STE 434, DALLAS, TX 75206-3932
(972) 863-2232
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
17483
TX
103TC1900X
Counseling Psychologist
Primary
36341
TX
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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