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Organization

PROCTOR PSYCHOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMANDA PROCTOR PSYD (LICENSED PSYCHOLOGIST)
(405) 586-4522
Entity
Organization

Contact information

Practice address
1233 CALADIUM AVE, RICHARDSON, TX 75080-8427
(405) 586-4522
Mailing address
433 BELLE GROVE DR # 830369, RICHARDSON, TX 75080-5200
(405) 586-4522

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
01/16/2024
Last updated
01/16/2024
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