Organization
JAYA MATHEW PHD, PLLC
Active
Other names
Welllness 360
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYA MATHEW PH.D. (OWNER)
(214) 755-7532
Entity
Organization
Contact information
Practice address
1340 PRUDENTIAL DR, SUITE A, DALLAS, TX 75235-4115
(214) 755-7532
Mailing address
1340 PRUDENTIAL DR, SUITE A, DALLAS, TX 75235-4115
(214) 755-7532
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36584
TX
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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