Individual
DR. KELLY DIONE GUTHRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2707 TAFT BLVD, WICHITA FALLS, TX 76308-1243
(940) 631-6620
(940) 766-6662
Mailing address
2707 TAFT BLVD, WICHITA FALLS, TX 76308-1243
(940) 631-6620
(940) 766-6662
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00639H
—
TX
Enumeration date
05/04/2007
Last updated
08/05/2008
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