# EDIE HERNANDEZ PUTT, PSY D, LPC-PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972930857
- **Authorized official:** DR. EDIE HERNANDEZ PUTT PSY D (OWNER)
- **Authorized official phone:** (214) 341-1400

## Contact information

- **Practice address:** 10405 E NORTHWEST HWY, STE \# 303, DALLAS, TX 75238-4619
- **Practice address phone:** (214) 341-1400
- **Mailing address:** 10405 E NORTHWEST HWY, STE \# 303, DALLAS, TX 75238-4619
- **Mailing address phone:** (214) 341-1400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 17737 | TX | Yes |

## Other

- **Enumeration date:** 10/09/2013
- **Last updated:** 10/09/2013