Desiree Wilmetta Kilcrease-fleming PHD

NPI 1043211774 - Psychologist - 103T00000X

NPI Details
NPI 1043211774
Gender Female
Enumeration Date 08/03/2005
Last Updated 01/27/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
5501 BRYAN ST
DALLAS TX, 75206-8103, US
Phone (214) 828-2603
Fax (214) 828-4954
Business Location
5501 BRYAN ST
DALLAS TX, 75206-8103, US
Phone (214) 828-2603
Fax (214) 828-4954
Toxanomy
Taxonomy Code 103T00000X
License State Texas
License Number 25363
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According to our database, Desiree Wilmetta Kilcrease-fleming PHD NPI is 1043211774, taxonomy code is 103T00000X and license number is 25363, license state is located at Texas. Desiree Wilmetta Kilcrease-fleming PHD physically located at 5501 Bryan St, Dallas TX, 75206-8103. NPI Number Desiree Wilmetta Kilcrease-fleming PHD has the Individual type.

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1043211774 NPI number is provided on an as is basis without warranty of any kind. 1043211774 is maintained by the National Plan & Provider Enumeration System. The contents of Desiree Wilmetta Kilcrease-fleming PHD are for informational purposes only.