Individual
JOHN D JEFFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
423 W WHEATLAND RD, STE 100, DUNCANVILLE, TX 75116
(972) 709-0445
(972) 283-2087
Mailing address
423 W WHEATLAND RD, STE 100, DUNCANVILLE, TX 75116
(972) 709-0445
(972) 283-2087
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
229799
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L24N
BCBS OF TX
TX
Enumeration date
09/07/2006
Last updated
07/08/2007
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