Provider Demographics
NPI:1518481456
Name:DEVDAS PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:DEVDAS PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NEETHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVDAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:469-371-3462
Mailing Address - Street 1:7202 ARCHES AVE
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3556
Mailing Address - Country:US
Mailing Address - Phone:469-371-3462
Mailing Address - Fax:
Practice Address - Street 1:1205 S WHITE CHAPEL BLVD
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-9332
Practice Address - Country:US
Practice Address - Phone:682-651-8651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36107103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty