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Contact Information

AILEEN FULLCHANGE, LP
3500 OAK LAWN AVE STE 230
DALLAS, TX75219-4369
 Phone: 214-247-6410
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for AILEEN FULLCHANGE · (Female)

NPI # 1386281756
Status Active
Credentials LP
Entity Individual
Enumeration date 12/04/2019
Last updated 12/04/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 37995
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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