Doctor Name: | DR. JOHN THOMAS DEINES |
NPI Number: | 1043207335 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 21176 |
Business Practice Address: | 1822 Nevada St Denton, TX - 762093414 |
Business Phone Number: | 9403874254 |
Business Fax Number: | 9403874254 |
Mailing Address: | 1822 Nevada St, DENTON |
State: | TX |
Postal Code: | 762093414 |
Phone Number: | 9403874254 |
Fax Number: | 9403874254 |
NPI Enumeration Date: | 10/01/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 21176 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |