Organization
MYRON S. LAZAR PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRON S. LAZAR PH.D. (PRESIDENT)
(214) 691-1153
Entity
Organization
Contact information
Practice address
8330 MEADOW RD, SUITE 202, DALLAS, TX 75231-3767
(972) 979-2779
Mailing address
8330 MEADOW RD, SUITE 202, DALLAS, TX 75231-3767
(972) 979-2779
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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