Organization
DALLAS INDEPENDENT SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE ELIZALDE ED.D. (GENERAL SUPERINTENDENT)
(972) 925-3700
Entity
Organization
Contact information
Practice address
9400 N CENTRAL EXPY STE 1305, DALLAS, TX 75231-4861
(972) 502-4192
(972) 794-3530
Mailing address
9400 N CENTRAL EXPY # 384, DALLAS, TX 75231-5027
(972) 502-4190
(214) 932-7587
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
103TS0200X
School Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1200859 04
—
TX
05
—
213646702
—
TX
01
—
463016
VALUE OPTION VENDOR ID
TX
Enumeration date
02/08/2007
Last updated
02/12/2024
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