| Organization Name: | PSYCHOLOGY SERVICES OF NORTH TEXAS |
| NPI Number: | 1033318860 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LESLIE M. FARIS (LICENSED PSYCHOLOGIST) |
| Mailing Address: | 1100 Airport Fwy Suite 202 Bedford |
| State: | TX US |
| Postal Code: | 760226667 |
| Phone Number: | 8173545554 |
| Fax Number: | 8173545556 |
| NPI Enumeration Date: | 07/12/2007 |
| NPI Last Update Date: | 07/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 32477 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |