Organization
DIVERSIFIED CONSULTING, INC.
Active
Other names
Center for Psychological Development
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACEY L GIBSON (CEO)
(972) 742-4582
Entity
Organization
Contact information
Practice address
220D N SUNSET BLVD, SHERMAN, TX 75092-7465
(903) 868-2961
(903) 892-2265
Mailing address
220 SUNSET BLVD, D, SHERMAN, TX 75092-7466
(972) 742-4582
(903) 892-2265
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528186673
—
TX
Enumeration date
03/27/2007
Last updated
03/02/2011
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