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Individual

DR. TERESA MARIE LYLE-LAHROUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
21384 PROVINCIAL BLVD, KATY, TX 77450-7580
(713) 459-6084
(281) 528-8276
Mailing address
21384 PROVINCIAL BLVD, KATY, TX 77450-7580
(713) 459-6084
(281) 528-8276

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
33206
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
182349404
TX
Enumeration date
01/22/2007
Last updated
07/14/2010
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