Individual
LARA A HASTINGS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5501 BRYAN ST, DALLAS, TX 75206-8103
(214) 828-2603
(214) 828-4954
Mailing address
5501 BRYAN ST, DALLAS, TX 75206-8103
(214) 828-2603
(214) 828-4954
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3-2014
TX
Other
Enumeration date
08/03/2005
Last updated
07/08/2007
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