Individual
DR. MICHELLE RIMA KANDALAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-7201
(214) 648-5160
(214) 648-5195
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 648-5160
(214) 648-5195
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34994
TX
103TC0700X
Clinical Psychologist
34994
TX
Other
Enumeration date
04/26/2011
Last updated
08/20/2012
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