Individual
MS. REBECCA FAYE FONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
12801 N CENTRAL EXPY STE 1730, DALLAS, TX 75243
(773) 809-4077
Mailing address
1403 BELLEFONTE LN, COLLEYVILLE, TX 76034-6322
(316) 212-2770
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
09/05/2018
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