Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 20841 | TX |
Y | 103TC0700X | Clinical Psychologist | 20841 | TX |
NPI | 1003801630 |
---|---|
Provider Name | Dr. Joyzelle Herod Mccreary |
First Address | Dallas, TX 75231-4426 |
Second Address | Dallas, TX 75231-4426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2005 |
Last Update Date | 01/10/2012 |