DR. Kevin S Weatherly, PH.D.

NPI #1164785556 in Greenville, Texas

Provider Information

NPI Number: 1164785556
Entity Type: Individual
Name: DR. Kevin S Weatherly, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Jun 20, 2012
Last Updated: Jul 6, 2023

Practice Location

Address: 5604 WESLEY ST STE 104
City: Greenville
State: Texas
ZIP Code: 75402-6326
Phone: (903) 883-7792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X
Psychologist	103T00000X	Primary

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