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Individual

DR. KRISTY L LACKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
3800 S W S YOUNG DR STE 407, KILLEEN, TX 76542-3374
(254) 252-3748
(254) 549-0086
Mailing address
2330 STANLEY RD, SUITE C, FORT SAM HOUSTON, TX 78234-2636

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
24531
CA
103TC0700X
Clinical Psychologist
Primary
36749
TX

Other

Enumeration date
02/22/2012
Last updated
02/07/2019
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