Individual
DR. ANNETTE JEROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
520 E NORTHWEST HWY, SUITE 101, GRAPEVINE, TX 76051-6297
(940) 594-8487
Mailing address
6407 DAISY DR, DENTON, TX 76208-7315
(940) 594-8487
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32442
TX
103TS0200X
School Psychologist
30522
TX
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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