Provider Demographics
NPI:1164230181
Name:KING, RICHARD V (MA, MMED, PHD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:V
Last Name:KING
Suffix:
Gender:M
Credentials:MA, MMED, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 MASTHEAD DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-1582
Mailing Address - Country:US
Mailing Address - Phone:214-364-9117
Mailing Address - Fax:
Practice Address - Street 1:4645 WYNDHAM LN STE 240
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-0025
Practice Address - Country:US
Practice Address - Phone:214-764-3833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96683101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty