Individual
DR. LASHONDA FONTA WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
13151 EMILY RD, STE. 240, DALLAS, TX 75240
(972) 690-7526
Mailing address
2555 95TH ST APT 1224, PORT ARTHUR, TX 77640-1599
(870) 489-9780
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35110
TX
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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