Diversified Psychological Services

NPI #1043431489 in Longview, Texas

Provider Information

NPI Number
1043431489
Entity Type
Organization
Organization Name
Diversified Psychological Services
Primary Specialty
Psychologist - Clinical
Enumeration Date
May 2, 2007
Last Updated
Sep 24, 2008

Practice Location

Address
1508 W FAIRMONT ST
Address 2
SUITE C
State
Texas
ZIP Code
75604-6303
Phone
(903) 238-9553

Authorized Official

Name
STEVE C KNOWLES
Title
OFFICE MANAGER
Phone
(903) 238-9553

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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