Kilcrease-Fleming, Desiree Wilmetta

Kilcrease-Fleming, Desiree Wilmetta is an individual health care provider with primary practice located at 5501 Bryan St , Dallas TX 75206-8103. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kilcrease-Fleming, Desiree Wilmetta can be contacted via phone (214) 828-2603.

Contact Information

Primary practice address
5501 Bryan St Dallas TX 75206-8103
Phone: (214) 828-2603
Fax: (214) 828-4954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 25363 Texas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 25363 Texas

Profile Details

NPI number 1043211774
LBN Legal business name Kilcrease-Fleming, Desiree Wilmetta
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jun 3rd, 2020 - about 5 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 1043211774 NPPES
Texas MEDICAID 173558101

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