Individual
DR. JOHN B. PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1013 LAKECREST ST, GRAND PRAIRIE, TX 75051-3446
(512) 782-3601
Mailing address
1013 LAKECREST ST, GRAND PRAIRIE, TX 75051-3446
(512) 782-3601
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25453
TX
Other
Enumeration date
10/19/2010
Last updated
01/22/2014
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