Organization
LATTIE PSYCHOLOGICAL ASSOCIATES PLLC
Active
Organization
LATTIE PSYCHOLOGICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAYLE LATTIE PSY. D. (CLINICAL PSYCHOLOGIST/OWNER)
(417) 861-6214
Entity
Organization
Contact information
Practice address
935 W RALPH HALL PKWY, #105, ROCKWALL, TX 75032-8701
(972) 772-8484
Mailing address
222 MAGIC LN, SUNNYVALE, TX 75182-9348
(417) 861-6214
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36497
TX
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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