Individual
POONAM AVINASHI VINCHHI DUBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP, LSSP
Contact information
Practice address
4925 GREENVILLE AVE STE 1050, DALLAS, TX 75206-4084
(214) 918-1999
Mailing address
4925 GREENVILLE AVE STE 1050, DALLAS, TX 75206-4084
(214) 918-1999
(972) 850-9452
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37360
TX
103TS0200X
School Psychologist
70804
TX
Other
Enumeration date
03/07/2018
Last updated
10/20/2025
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