Organization
GINA DUNCKEL PSYD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA N DUNCKEL SMITH PSYD (LICENSED PSYCHOLOGIST)
(281) 910-3313
Entity
Organization
Contact information
Practice address
1500 MARINA BAY DR BLDG 113E, CLEAR LAKE SHORES, TX 77565-2263
(281) 910-3303
Mailing address
PO BOX 303, KEMAH, TX 77565-0303
(281) 910-3913
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518374982
NPI INDIVIDUAL
—
Enumeration date
04/24/2019
Last updated
06/22/2023
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