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Individual

DR. DIANE L PASCOE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LMFT

Contact information

Practice address
1001 CYPRESS CREEK RD STE 403, CEDAR PARK, CEDAR PARK, TX 78613-4470
(512) 289-4664
Mailing address
1001 CYPRESS CREEK RD STE 403, CEDAR PARK, CEDAR PARK, TX 78613-4470
(512) 289-4664

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1867
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
028486101
TX
01
2756LC
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
12/11/2006
Last updated
03/10/2012
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