Individual
LYNN RAE HERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2712 HURSTVIEW DR, HURST, TX 76054-2402
(888) 365-6271
Mailing address
PO BOX 121329, ARLINGTON, TX 76012-1329
(817) 657-6876
(832) 448-2801
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23380
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102760902
—
TX
01
—
680012256
RAILROAD
TX
01
—
82888P
BCBS
TX
Enumeration date
07/05/2006
Last updated
11/19/2019
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