Individual
RICHARD KOWNACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2910 KEMP BLVD, SUITE 210, WICHITA FALLS, TX 76308-1070
(940) 631-6585
(940) 696-0837
Mailing address
2910 KEMP BLVD, SUITE 210, WICHITA FALLS, TX 76308-1070
(940) 631-6585
(940) 696-0837
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
30876
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030924701
—
TX
Enumeration date
02/08/2007
Last updated
08/05/2015
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