| Edie Hernandez Putt, Psy D, Lpc-pc | |
|
10405 E Northwest Hwy Ste # 303 Dallas TX 75238-4619 | |
| (214) 341-1400 | |
| Not Available |
| Full Name | Edie Hernandez Putt, Psy D, Lpc-pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10405 E Northwest Hwy, Dallas, Texas |
| Authorized Official Name and Position | Edie Hernandez Putt (OWNER) |
| Authorized Official Contact | 2143411400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edie Hernandez Putt, Psy D, Lpc-pc 10405 E Northwest Hwy Ste # 303 Dallas TX 75238-4619 Ph: (214) 341-1400 | Edie Hernandez Putt, Psy D, Lpc-pc 10405 E Northwest Hwy Ste # 303 Dallas TX 75238-4619 Ph: (214) 341-1400 |
| NPI Number | 1972930857 |
|---|---|
| Provider Enumeration Date | 10/09/2013 |
| Last Update Date | 10/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972930857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 17737 (Texas) | Primary |
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