Individual
DR. TABATHA KAY CHANSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4925 GREENVILLE AVE, SUITE 200, DALLAS, TX 75206-4026
(972) 824-4943
Mailing address
4925 GREENVILLE AVE, SUITE 200, DALLAS, TX 75206-4026
(972) 824-4943
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
37091
TX
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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