Individual
MERRY ASHLEY LIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC-S
Contact information
Practice address
3611 SWISS AVE, DALLAS, TX 75204-6245
(214) 818-2600
(214) 823-4819
Mailing address
3611 SWISS AVE, DALLAS, TX 75204-6245
(214) 818-2600
(214) 823-4819
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
15478
TX
103TC0700X
Clinical Psychologist
Primary
15478
TX
103TC2200X
Clinical Child & Adolescent Psychologist
15478
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15478
PROFESSIONAL LICENSE
TX
Enumeration date
04/30/2010
Last updated
04/30/2010
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