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Individual

DR. HOWARD GRAY ATKINS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2419 COIT RD, SUITE C, PLANO, TX 75075-3731
(972) 612-9787
(972) 867-2722
Mailing address
2419 COIT RD, SUITE C, PLANO, TX 75075-3731
(972) 612-9787
(972) 867-2722

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22090
TX
103TA0400X
Addiction (Substance Use Disorder) Psychologist
22090
TX
103TB0200X
Cognitive & Behavioral Psychologist
22090
TX
103TC0700X
Clinical Psychologist
22090
TX
103TC2200X
Clinical Child & Adolescent Psychologist
22090
TX
103TF0000X
Family Psychologist
22090
TX
103TH0004X
Health Psychologist
22090
TX
103TH0100X
Health Service Psychologist
22090
TX
103TR0400X
Rehabilitation Psychologist
22090
TX
106H00000X
Marriage & Family Therapist
22090
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
194918
VALUE OPTIONS PROVIDER #
TX
01
2141362
CIGNA BEH HLTH #
TX
01
4130480
AETNA PROVIDER #
TX
01
86647A
BLUE CROSS BLUE SHIELD #
TX
01
PHD22090
MAGELLAN PROVIDER #
TX
Enumeration date
04/08/2007
Last updated
08/07/2014
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