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Contact Information

KENLEIGH R MCMINN, PHD
3600 GASTON AVENUE
BARNETT TOWER, SUITE 404
DALLAS, TX75246
 Phone: 214-820-5516
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KENLEIGH R MCMINN · (Female)

NPI # 1588133110
Status Active
Credentials PHD
Entity Individual
Enumeration date 11/13/2018
Last updated 01/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 071009979
  • TX License # 38336
Hospital affiliation(s)
  • BAYLOR UNIVERSITY MEDICAL CENTER - (Acute Care)
    3500 GASTON AVE
    DALLAS, TX 75246
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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