Organization
PEDIATRIC NEUROPSYCHOLOGY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE LURIE (NEUROPSYCHOLOGIST)
(972) 248-3682
Entity
Organization
Contact information
Practice address
17770 PRESTON RD, SUITE 1F, DALLAS, TX 75252-6084
(972) 248-3682
Mailing address
17770 PRESTON RD, SUITE 1F, DALLAS, TX 75252-6084
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
31451
TX
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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