Individual
DR. JUSTIN R. JARAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4500 S LANCASTER RD, 116A, DALLAS, TX 75216-7167
(214) 857-1287
Mailing address
4500 S LANCASTER RD # 116A, DALLAS, TX 75216-7167
(214) 857-1287
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
071-008545
IL
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
06/03/2013
Last updated
12/06/2013
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