Individual
ANDREA WAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7601 PRESTON RD, SUITE P4300, PLANO, TX 75024-3214
(469) 303-4090
Mailing address
7601 PRESTON RD, SUITE P4300, PLANO, TX 75024-3214
(469) 303-4090
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
37231
TX
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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