Individual
VANESSA KINCHELOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2934 KEMP BLVD, WICHITA FALLS, TX 76308-1017
(940) 691-1899
(940) 691-3423
Mailing address
4722 TAFT BLVD, 2, WICHITA FALLS, TX 76308-4872
(940) 691-1899
(940) 691-3423
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
37530
TX
103TC0700X
Clinical Psychologist
Primary
37530
TX
Other
Enumeration date
02/10/2017
Last updated
12/13/2024
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