Organization
DENTON INTEGRATIVE PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLA HUNDRICH-SOURIS PH.D. (PSYCHOLOGIST)
(940) 565-0155
Entity
Organization
Contact information
Practice address
2220 SAN JACINTO BLVD, SUITE 355, DENTON, TX 76205-7591
(940) 565-0155
Mailing address
2220 SAN JACINTO BLVD STE 355, DENTON, TX 76205-7591
(940) 565-0155
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-6863
TX
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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