Organization
EDIE HERNANDEZ PUTT, PSY D, LPC-PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDIE HERNANDEZ PUTT PSY D (OWNER)
(214) 341-1400
Entity
Organization
Contact information
Practice address
10405 E NORTHWEST HWY, STE # 303, DALLAS, TX 75238-4619
(214) 341-1400
Mailing address
10405 E NORTHWEST HWY, STE # 303, DALLAS, TX 75238-4619
(214) 341-1400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17737
TX
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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