Organization
H. DENISE WOOTEN, PSYD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE SCHOENRADE (PRACTICE MANAGER)
(972) 539-8353
Entity
Organization
Contact information
Practice address
3861 LONG PRAIRIE RD, STE. 101, FLOWER MOUND, TX 75028
(972) 539-8353
(972) 539-8353
Mailing address
3861 LONG PRAIRIE RD, STE. 101, FLOWER MOUND, TX 75028
(972) 539-8353
(972) 539-8353
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24437
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096715002
—
TX
Enumeration date
07/07/2009
Last updated
10/10/2024
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