Individual
MRS. MIRTHALA LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.; LPA
Contact information
Practice address
1901 S 24TH AVE, EDINBURG, TX 78539-6533
(956) 289-7000
Mailing address
4709 CEDAR AVE, MCALLEN, TX 78501-3796
(956) 467-2717
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34021
TX
103TM1800X
Intellectual & Developmental Disabilities Psychologist
34021
TX
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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