Organization
BARBARA RILA PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA HARTWIG (OFFICE MANAGER)
(972) 247-9946
Entity
Organization
Contact information
Practice address
3530 FOREST LN, STE 326, DALLAS, TX 75234-7910
(972) 247-9946
(972) 247-9388
Mailing address
3530 FOREST LANE, STE 326, DALLAS, TX 75234-4165
(972) 247-9946
(972) 247-9388
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
22888
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034161201
—
TX
Enumeration date
06/18/2014
Last updated
06/18/2014
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