Individual
DR. PRISCILLA DREW SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LIC PSYCHOLOGIST
Contact information
Practice address
2600 LONE STAR DR, DALLAS, TX 75212-6326
(214) 424-5764
Mailing address
2600 LONE STAR DR, DALLAS, TX 75212-6326
(214) 424-5764
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9940
TX
103TC0700X
Clinical Psychologist
0810002647
VA
103TC0700X
Clinical Psychologist
Primary
32008
TX
Other
Enumeration date
01/28/2010
Last updated
05/01/2015
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