DERRICK K BLANTON

FRISCO, TX
NPI1194830133
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: TX  32512)
Enumeration Date2006-08-20
Last Update Date2010-02-22
Business Address
Dr. DERRICK K BLANTON PYSD
13284 BUGATTI DR
FRISCO, TX 75034-0916
Phone number: 214-551-7104
Mailing Address
Dr. DERRICK K BLANTON PYSD
13284 BUGATTI DR
FRISCO, TX 75034-0916
Phone number: 214-551-7104
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