Individual
TRESSIE K ANIGBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASP
Contact information
Practice address
3900 JOE RAMSEY BLVD E, BLDG 4; SUITE C, GREENVILLE, TX 75401-7727
(903) 269-3969
(903) 269-3523
Mailing address
3900 JOE RAMSEY BLVD E, BLDG 4; SUITE C, GREENVILLE, TX 75401-7727
(903) 269-3969
(903) 269-3523
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31459
TX
103TB0200X
Cognitive & Behavioral Psychologist
31459
TX
103TC1900X
Counseling Psychologist
31459
TX
103TM1800X
Intellectual & Developmental Disabilities Psychologist
31459
TX
103TS0200X
School Psychologist
31459
TX
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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