Individual
DR. LORENA MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 W PIONEER DR STE 112, IRVING, TX 75061-7124
(469) 796-0013
(972) 253-9357
Mailing address
PO BOX 631862, IRVING, TX 75063-0030
(469) 796-0013
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
70716
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822698729
—
TX
Enumeration date
09/12/2017
Last updated
09/12/2017
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