Organization · Type 2 NPI

Therlively

Clinical Psychologist · Southlake, TX

NPI number 1063282929 Active

Practice location

1340 N White Chapel Blvd Ste 130
Southlake, TX 76092-4327

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1063282929

Therlively's National Provider Identifier is 1063282929, issued on Jan 3, 2024. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Southlake, TX. The record was last updated on Jan 16, 2024.