Individual
KEVIN GILLILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
6600 LBJ FWY STE 240, DALLAS, TX 75240-6550
(214) 533-5640
Mailing address
6600 LBJ FWY STE 240, DALLAS, TX 75240-6550
(214) 533-5640
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24950
TX
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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