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Individual

JACQUELINE LANIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD LICENSED PSYCHOL

Contact information

Practice address
1201 HARDESTY AVE, SEABROOK, TX 77586-3832
(281) 474-1488
(281) 240-6481
Mailing address
1201 HARDESTY AVE, SEABROOK, TX 77586-3832
(281) 474-1488
(281) 240-6481

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
30800
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0068CY
BC/BS
TX
05
096507102
TX
Enumeration date
05/03/2006
Last updated
10/25/2015
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