Provider Demographics
NPI:1154528826
Name:JAMESON, SHEILA R (PHD)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:R
Last Name:JAMESON
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 1:4333 FAWNHOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-7426
Mailing Address - Country:US
Mailing Address - Phone:972-233-2823
Mailing Address - Fax:
Practice Address - Street 1:6750 HILLCREST PLAZA DR STE 221
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1444
Practice Address - Country:US
Practice Address - Phone:972-233-2823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC, 5087101YM0800X
TXLMFT, 984106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist