Individual
DR. SUSAN GWALTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7668 LA MANGA DR, DALLAS, TX 75248-3129
(972) 701-8196
(972) 392-3983
Mailing address
7668 LA MANGA DR, DALLAS, TX 75248-3129
(972) 701-8196
(972) 392-3983
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
24096
TX
103TC0700X
Clinical Psychologist
24096
TX
103TC2200X
Clinical Child & Adolescent Psychologist
24096
TX
103TF0000X
Family Psychologist
24096
TX
103TF0200X
Forensic Psychologist
Primary
24096
TX
Other
Enumeration date
07/30/2006
Last updated
09/11/2025
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