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Individual

JOHNNY WORLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1800 ROSE ST, WICHITA FALLS, TX 76301-4219
(940) 322-2372
(940) 322-3578
Mailing address
1808 ROSE STREET, WICHITA FALLS, TX 76301-4219
(940) 322-2372
(940) 322-3578

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21008
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00249P
BLUE CROSS BLUE SHIELD
TX
05
100369104
TX
01
109022
SUPERIOR
TX
05
200065410A
OK
01
257054
COMPSYCH
TX
01
5648810
FIRST HEALTH/CCN
TX
01
7233353
AETNA BEHAVIORAL HEALTH
TX
Enumeration date
07/19/2005
Last updated
07/09/2007
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