Individual
NYATWA-TEREZA JOAO SAMPULULU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC, LPA
Contact information
Practice address
1700 ALMA DR STE 580, PLANO, TX 75075-7009
(469) 344-1414
Mailing address
401 CAVANAL HILL DR, LITTLE ELM, TX 75068-4934
(469) 469-9332
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
39411
TX
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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