Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC1900X | Counseling Psychologist | 01605 | MO |
Y | 103TC1900X | Counseling Psychologist | 31990 | TX |
N | 103TC1900X | Counseling Psychologist | 879 | KS |
NPI | 1104053461 |
---|---|
Provider Name | Dr. Terrance Allan Wilensky |
First Address | Plano, TX 75024-7397 |
Second Address | Plano, TX 75024-7397 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2009 |
Last Update Date | 15/06/2009 |