Individual
MARIE-ELISE DU BUISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8610 MCPHERSON RD, SUITE 130, LAREDO, TX 78045-6305
(956) 795-8325
(956) 795-8335
Mailing address
5411 MCPHERSON AVE, #252, LAREDO, TX 78041-6834
(956) 795-1343
(956) 795-1363
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
26604
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86728A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/18/2006
Last updated
07/09/2007
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