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Individual

LAURA KUPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1341 W MOCKINGBIRD LN, DALLAS, TX 75247-6913
(214) 456-7200
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-6913
(469) 291-3368

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37329
TX
103TC2200X
Clinical Child & Adolescent Psychologist
37329
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37329
PSYCHOLOGY LICENSE
TX
Enumeration date
10/20/2016
Last updated
05/09/2024
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