Individual
DR. LARRY LYNN HANSELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8222 DOUGLAS AVE, STE. 375, DALLAS, TX 75225-5923
(214) 905-5090
(214) 905-1998
Mailing address
302 ROSEMARY LN, EULESS, TX 76039-7925
(817) 857-1007
(214) 905-1998
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-5163
TX
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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