Provider Demographics
NPI:1407109572
Name:PLAINS, DARALYN A (PHD)
Entity Type:Individual
Prefix:DR
First Name:DARALYN
Middle Name:A
Last Name:PLAINS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 BESSEMER DR
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-6985
Mailing Address - Country:US
Mailing Address - Phone:214-563-7353
Mailing Address - Fax:
Practice Address - Street 1:828 BESSEMER DR
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-6985
Practice Address - Country:US
Practice Address - Phone:214-563-7353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36130103TC2200X
TX33707103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool