Active NPI
Veronica Tetterton, PH.D
- Clinical Psychologist
- Dallas, TX
National Provider Identifier
1851636286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33953
- Practice address
- 12300 Ford Rd
Dallas, TX 75234-7248 - Phone
- (817) 627-9949
- NPI assigned
- Dec 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 33953 | TX | Primary |
Addresses
Primary practice location
12300 Ford Rd
Dallas, TX 75234-7248
Mailing address
PO Box 540704
Grand Prairie, TX 75054-0704
Phone (817) 627-9949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33953 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1851636286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 540704",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750540704",
"telephone_number": "817-627-9949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 FORD RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752347248",
"telephone_number": "817-627-9949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TETTERTON",
"first_name": "VERONICA",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-12",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "33953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.