Organization
AJ PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH W OLEPERE MSN, PMHNP-BC (OWNER OF ENTITY)
(214) 744-5438
Entity
Organization
Contact information
Practice address
1920 N COIT RD STE 219, RICHARDSON, TX 75080-2832
(214) 744-5438
Mailing address
650 BONHAM DR, LAVON, TX 75166-1763
(214) 744-5438
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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