Individual
DR. KAMARIA CHISOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6401 ELDORADO PKWY STE 237, MCKINNEY, TX 75070-6199
(972) 399-9362
Mailing address
PO BOX 1743, MANSFIELD, TX 76063-0010
(972) 399-9362
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
39022
TX
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
06/28/2023
Last updated
10/12/2023
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