Individual
DR. MARYANN HETRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8100 LOMO ALTO DR STE 100, DALLAS, TX 75225-6575
(213) 351-0053
Mailing address
8100 LOMO ALTO DR STE 100, DALLAS, TX 75225-6575
(213) 351-0053
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33725
TX
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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