Individual
DR. LISA VINUESA THOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,PH.D.
Contact information
Practice address
4500 S LANCASTER RD, CRU (8C), DALLAS, TX 75216-7167
(214) 857-1014
(214) 302-1414
Mailing address
4500 S LANCASTER RD, CRU (8C), DALLAS, TX 75216-7167
(214) 857-1014
(214) 302-1414
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
14619
TX
103T00000X
Psychologist
Primary
33127
TX
103TC0700X
Clinical Psychologist
33127
TX
Other
Enumeration date
02/07/2009
Last updated
02/07/2009
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