Individual provider · Type 1 NPI
Jennifer Depetro, PhD
Clinical Psychologist · Southlake, TX
Practice location
502 N Carroll Ave Ste 120
Southlake, TX 76092-6449
Mailing address
4421 Wanda Ln
Flower Mound, TX 75022-5446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 34436 (TX) |
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…
3 other providers at this address
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About NPI 1972455780
Jennifer Depetro, PhD's National Provider Identifier is 1972455780, issued on Feb 12, 2026. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Southlake, TX. The record was last updated on Feb 12, 2026.