Individual
DR. MAUREEN JOAN LUMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.M. F.T.
Contact information
Practice address
1207 S WHITE CHAPEL BLVD, SUITE 140, SOUTHLAKE, TX 76092-9314
(214) 755-4107
(817) 416-1047
Mailing address
607 SHADY BROOK CT, SOUTHLAKE, TX 76092-7212
(214) 755-4107
(817) 416-1047
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7638159
AETNA
TX
01
—
8152-4289
APA
TX
01
—
9381325
PHCS
TX
01
—
LUML93216
AAMFT
TX
Enumeration date
12/29/2006
Last updated
07/09/2007
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