Individual
DR. LISA MARIA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4500 S. LANCASTER, 116A, DALLAS, TX 75216
(214) 857-0835
Mailing address
4500 S. LANCASTER, 116A, DALLAS, TX 75216
(214) 857-0835
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34167
TX
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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