Organization
BIOFEEDBACK & BEHAVIORAL HEALTHCARE SOLUTIONS, P.A.
Active
Organization
BIOFEEDBACK & BEHAVIORAL HEALTHCARE SOLUTIONS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK K BLANTON (PROVIDER)
(214) 662-0044
Entity
Organization
Contact information
Practice address
5995 SUMMERSIDE DR UNIT 795098, DALLAS, TX 75379-0092
(214) 662-0044
Mailing address
5995 SUMMERSIDE DR # 5098, DALLAS, TX 75379-0002
(214) 662-0044
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170206001
—
TX
Enumeration date
03/19/2008
Last updated
08/08/2025
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