Individual
DR. JERIDITH DIONNE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12700 HILLCREST RD, SUITE 212, DALLAS, TX 75230-2033
(214) 738-7017
Mailing address
4605 FORDHAM DR, GARLAND, TX 75042-4550
(214) 738-7017
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
32218
TX
103TC0700X
Clinical Psychologist
Primary
32218
TX
103TS0200X
School Psychologist
31809
TX
Other
Enumeration date
05/17/2009
Last updated
08/27/2024
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