Individual
VIVIAN MARIE VAN ZANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSSP
Contact information
Practice address
1505 MERIDIAN DR APT 2408, IRVING, TX 75038-3248
(325) 725-7352
Mailing address
1505 MERIDIAN DR APT 2408, IRVING, TX 75038-3248
(325) 725-7352
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
71896
TX
Other
Enumeration date
08/14/2022
Last updated
08/14/2022
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