Provider Demographics
NPI:1538236245
Name:FUTRELL, STEVEN DOYLE (PSYD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:DOYLE
Last Name:FUTRELL
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 MEMORIAL DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-2177
Mailing Address - Country:US
Mailing Address - Phone:903-337-0343
Mailing Address - Fax:903-337-0526
Practice Address - Street 1:1105 MEMORIAL DR
Practice Address - Street 2:SUITE 202
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-2177
Practice Address - Country:US
Practice Address - Phone:903-337-0343
Practice Address - Fax:903-337-0526
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34542103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical