| Lakewood Wellness Partners | |
|
6301 Gaston Ave Ste 610 Dallas TX 75214-6289 | |
| (214) 531-7624 | |
| Not Available |
| Full Name | Lakewood Wellness Partners |
|---|---|
| Speciality | Psychologist |
| Location | 6301 Gaston Ave Ste 610, Dallas, Texas |
| Authorized Official Name and Position | Katherine Pang (PSYCHOLOGIST) |
| Authorized Official Contact | 2145317624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Wellness Partners 6301 Gaston Ave Ste 610 Dallas TX 75214-6289 Ph: (214) 531-7624 | Lakewood Wellness Partners 6301 Gaston Ave Ste 610 Dallas TX 75214-6289 Ph: (214) 531-7624 |
| NPI Number | 1316315997 |
|---|---|
| Provider Enumeration Date | 09/12/2015 |
| Last Update Date | 10/06/2020 |
| Certification Date | 10/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316315997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 36138 (Texas) | Primary |
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