Organization
MELODY OF LIGHT PSYHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANAZ ADIBIAN PSYD (PSYCHOLOGSIT)
(972) 377-0039
Entity
Organization
Contact information
Practice address
2591 DALLAS PKWY STE 300, FRISCO, TX 75034-8563
(972) 377-0039
Mailing address
2591 DALLAS PKWY STE 300, FRISCO, TX 75034-8563
(972) 377-0039
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36393
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36393
TEXAS BOARD OF PSYCHOLOGY EXAMINERS
TX
Enumeration date
08/20/2013
Last updated
08/20/2013
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