| Organization Name: | PSYCHOLOGICAL SERVICES OF NORTH TEXAS, PLLC |
| NPI Number: | 1073909438 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN L NADELSON (LICENSED PSYCHOLOGIST) |
| Mailing Address: | 7135 Colleyville Blvd Suite 101 Colleyville |
| State: | TX US |
| Postal Code: | 760346240 |
| Phone Number: | 8174167169 |
| Fax Number: | 8174167175 |
| NPI Enumeration Date: | 04/13/2015 |
| NPI Last Update Date: | 11/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 36072 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |