Individual
DR. MICHAEL ELLIS WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
13800 MONTFORT DR, SUITE 200, DALLAS, TX 75240-4348
(972) 385-0267
(972) 387-0618
Mailing address
13800 MONTFORT DR, SUITE 200, DALLAS, TX 75240-4348
(972) 385-0267
(972) 387-0618
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22504
TX
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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