Individual
DR. BARRY ROBERT ARDOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4500 S LANCASTER RD, PSYCHOLOGY SERVICE (116B), DALLAS, TX 75216-7167
(214) 857-0530
Mailing address
4500 S LANCASTER RD, PSYCHOLOGY SERVICE (116B), DALLAS, TX 75216-7167
(214) 857-0530
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301013048
MI
103T00000X
Psychologist
6301013048
MI
Other
Enumeration date
05/22/2007
Last updated
11/12/2019
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