Individual
SHIVANTI SINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4500 S LANCASTER RD # 430A, DALLAS, TX 75216-7167
(714) 397-1646
Mailing address
2901 INDIANA BLVD APT 443, DALLAS, TX 75226-1534
(714) 397-1646
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
39340
TX
Other
Enumeration date
06/09/2023
Last updated
07/30/2023
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