Premier Psychology Consultants Pllc

NPI #1942771787 in Southlake, Texas

Provider Information

NPI Number: 1942771787
Entity Type: Organization
Organization Name: Premier Psychology Consultants Pllc
Primary Specialty: Psychologist
Enumeration Date: Dec 5, 2018
Last Updated: Jun 28, 2019

Practice Location

Address: 1725 E SOUTHLAKE BLVD STE 102
City: Southlake
State: Texas
ZIP Code: 76092-6457
Phone: (682) 477-4400

Authorized Official

Name: DR. MARIETTA RICHARD, PH.D.
Title: PH.D. / PSYCHOLOGIST
Phone: (682) 477-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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