Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 30908 | TX |
N | 103T00000X | Psychologist | 30908 | TX |
NPI | 1003994328 |
---|---|
Provider Name | Dr. Pamela J Flint |
First Address | Dallas, TX 75248 |
Second Address | Dallas, TX 75248 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 08/07/2007 |