Divya Patel

NPI # 

Practice Address:

1000 Post And Paddock St Ste 102

Grand Prairie, TX, 75050-1114

Practice Phone:

617-379-0496

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Counselor

Taxonomy Specialization:

Professional

Taxonomy Code:

101YP2500X

Deactivation Date:

2019-11-24T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2021-12-09T00:00:00.000Z