Individual
MARLENE VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390-9055
(214) 648-2240
Mailing address
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390-9055
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
37192
TX
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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