Organization
PSY-MED, INC.
Active
Organization
PSY-MED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE ANTHONY GUCCIONE (CEO)
(214) 536-1049
Entity
Organization
Contact information
Practice address
8140 WALNUT HILL LANE, SUITE 308, DALLAS, TX 75231-4396
(214) 348-5557
(214) 348-5898
Mailing address
8140 WALNUT HILL LANE, SUITE 308, DALLAS, TX 75231-4396
(214) 348-5557
(214) 348-5898
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
—
—
133V00000X
Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
Other
Enumeration date
08/28/2008
Last updated
04/06/2026
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