Kerwin, Greta L

Kerwin, Greta L is an individual health care provider with primary practice located at 8117 Preston Rd Suite 300, Dallas TX 75225-6332. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Kerwin, Greta L can be contacted via phone (214) 907-2433.

Contact Information

Primary practice address
8117 Preston Rd Suite 300 Dallas TX 75225-6332
Fax: (888) 519-5344
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 32241 Texas

Profile Details

NPI number 1871594523
LBN Legal business name Kerwin, Greta L
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Apr 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871594523 NPPES
Texas MEDICAID 153806802

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