Individual
DR. LISA BAZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12830 HILLCREST RD, SUITE D218, DALLAS, TX 75230-1527
(817) 882-8880
Mailing address
PO BOX 670787, DALLAS, TX 75367-0787
(817) 882-8880
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30531
TX
Other
Enumeration date
07/10/2012
Last updated
06/11/2014
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