Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Depetro, PHD

Individual provider Clinical Psychologist · NPI 1972455780

Jennifer Depetro, PHD is a Clinical Psychologist in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2026.

Licensed in
TX
In the registry since
2026
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

502 N Carroll Ave Ste 120
Southlake, TX 76092-6449
Phone: (682) 292-7012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 34436 (TX)

Record details

NPI number1972455780
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 12, 2026
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address4421 Wanda Ln, Flower Mound, TX 75022-5446

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