Individual
LARA PENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
9400 N CENTRAL EXPY, DALLAS, TX 75231-5027
(469) 341-9136
Mailing address
9400 N CENTRAL EXPY, DALLAS, TX 75231-5027
(469) 341-9136
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34354
TX
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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