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Organization

PERCEPTIVE PSYCHOLOGICAL PRACTICE ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLA LEWIS (OWNER)
(202) 713-9196
Entity
Organization

Contact information

Practice address
880 S COIT, PROSPER, TX 75078
(202) 713-9196
Mailing address
2633 MCKINNEY AVE STE 130, #395, DALLAS, TX 75204

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TB0200X
Cognitive & Behavioral Psychologist
103TC1900X
Counseling Psychologist
103TP2701X
Group Psychotherapy Psychologist

Other

Enumeration date
11/26/2021
Last updated
11/26/2021
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