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Organization

U S ASSISTED KINDER OPTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
J SMITH (CEO)
(412) 572-1130
Entity
Organization

Contact information

Practice address
2600 FORESTCREST DR, PLANO, TX 75074-6522
(412) 572-1130
Mailing address
2600 FORESTCREST DR, PLANO, TX 75074-6522
(412) 572-1130

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
103G00000X
Clinical Neuropsychologist
103T00000X
Psychologist
Primary
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TP0814X
Psychoanalysis Psychologist
103TP2701X
Group Psychotherapy Psychologist

Other

Enumeration date
04/24/2025
Last updated
04/24/2025
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