Organization
VANESSA COCA-LYLE PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA COCA-LYLE PHD (PSYCHOLOGIST)
(806) 419-1266
Entity
Organization
Contact information
Practice address
5502 58TH ST STE 600, LUBBOCK, TX 79414-2087
(806) 419-1266
Mailing address
3011 20TH ST, LUBBOCK, TX 79410-1405
(817) 401-0062
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37544
TX
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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