Individual
DR. KENNETH TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12801 N. CENTRAL EXPRESSWAY, SUITE 1730, DALLAS, TX 75243-1872
(817) 320-0704
(972) 677-7784
Mailing address
12801 N. CENTRAL EXPY, SUITE 1730, DALLAS, TX 75243-1872
(817) 320-0704
(972) 677-7784
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36654
TX
Other
Enumeration date
01/27/2014
Last updated
11/18/2015
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