Individual
DR. ANDRA LAVONNE WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
800 E CAMPBELL RD, SUITE 246, RICHARDSON, TX 75081-6706
(972) 671-6066
Mailing address
800 E CAMPBELL RD, SUITE 246, RICHARDSON, TX 75081-6706
(972) 671-6066
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25373
TX
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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