Individual
DR. ANNALISA MARTIN PASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8140 WALNUT HILL LANE, STE 100, DALLAS, TX 75231
(214) 553-0180
(214) 221-7188
Mailing address
8140 WALNUT HILL LANE, STE 100, DALLAS, TX 75231
(214) 553-0180
(214) 221-7188
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A50L
BCBS
—
Enumeration date
12/05/2006
Last updated
07/08/2007
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