Individual
GRETA L KERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
8117 PRESTON RD, SUITE 300, DALLAS, TX 75225-6332
(214) 907-2433
(888) 519-5344
Mailing address
8117 PRESTON RD, SUITE 300, DALLAS, TX 75225-6332
(214) 907-2433
(888) 519-5344
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32241
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153806802
—
TX
Enumeration date
08/03/2005
Last updated
04/27/2012
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