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Phillip Pass, PSYD
Student in an Organized Health Care Education/Training Program in Richardson, Texas
NPI 1114300019

Phillip Pass is a Student in an Organized Health Care Education/Training Program based in Richardson, TX. Phillip Pass practices in Richardson, TX and has the professional credentials of PSYD. The NPI Number for Phillip Pass is 1114300019 and holds a License No. (Texas).

The current practice location address for Phillip Pass is 1221 Chesterton Dr, Richardson, TX and can be reached out via phone at 972-742-8519.

Location: 1221 Chesterton Dr, Richardson, TX, 75080-2922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114300019
Provider Name
Phillip Pass
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
1221 Chesterton Dr, Richardson, TX, 75080-2922
Phone Number
972-742-8519
Fax Number
Provider Enumeration Date
07/09/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1221 Chesterton Dr
City
Richardson
State
Texas
Zip
75080-2922
Phone Number
972-742-8519
Fax Number
person
Provider Business Mailing Address Details
Address
1221 Chesterton Dr
City
Richardson
State
Texas
Zip
75080-2922
Phone Number
972-742-8519
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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