Individual
SERINA HUERTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0534
Mailing address
PO BOX 450762, GARLAND, TX 75045-0762
(214) 564-3968
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
36069
TX
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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