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DR. NANCY A DIDRIKSEN PHD

Clinical Neuropsychologist

Richardson, Texas

Provider NPI: 1316951247

Provider Information:
DR. NANCY A DIDRIKSEN PHD
Gender: F
Sole Proprietor


Practice Location:
1143 ROCKINGHAM DR STE 105 RICHARDSON, TX 75080 US
Tel: 972-889-9933  Fax: 972-889-9935

Business Mailing Address:
1143 ROCKINGHAM DR STE 105 RICHARDSON, TX 75080 US
Tel: 972-889-9933  Fax: 972-889-9935

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX23529

Other Provider Identifiers:

IssuerNumberStateType
OWCP INDIVIDUAL PROVIDER179804900TX01
RR MEDICARE PROVIDER #680009955TX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS TX - Page 1

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