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Individual

NOLA LITWINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
12820 HILLCREST RD, SUITE C107, DALLAS, TX 75230-1526
(972) 849-4128
(469) 342-8257
Mailing address
PO BOX 940165, PLANO, TX 75094-0165
(972) 849-4128
(469) 342-8257

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30805
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0404089-02
TX
Enumeration date
05/22/2006
Last updated
09/25/2013
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