Organization
KENNETH TREVINO, PH.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH TREVINO PHD (OWNER/CLINICAL PSYCHOLOGIST)
(817) 320-0704
Entity
Organization
Contact information
Practice address
12801 N CENTRAL EXPY STE 1730, DALLAS, TX 75243-1872
(817) 320-0704
(972) 677-7784
Mailing address
12801 N CENTRAL EXPY STE 1730, DALLAS, TX 75243-1872
(817) 320-0704
(972) 677-7784
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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