Individual
KRISTA KULESZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
305 MIRON DR, SOUTHLAKE, TX 76092-7831
(682) 554-2946
Mailing address
109 W ASH LN, EULESS, TX 76039-2801
(469) 939-2925
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33605
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33605
STATE LICENSE
TX
Enumeration date
10/22/2007
Last updated
02/15/2023
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