Individual
PATRICIA A DEHAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1714 10TH ST, WICHITA FALLS, TX 76301-5011
(940) 766-4482
(940) 766-4487
Mailing address
1714 10TH ST, WICHITA FALLS, TX 76301-5011
(940) 766-4482
(940) 766-4487
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
26869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09675150
—
TX
Enumeration date
12/14/2006
Last updated
08/09/2011
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