Individual
PHYLETTE NICOLE MITCHELLWILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PSYCHOLOGIS
Contact information
Practice address
2200 MARKET ST STE 600, GALVESTON, TX 77550-1532
(409) 762-8636
(409) 762-4185
Mailing address
2200 MARKET ST STE 600, GALVESTON, TX 77550-1532
(409) 762-8636
(409) 762-4185
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33674
TX
Other
Enumeration date
10/16/2008
Last updated
10/24/2008
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