| Luma Psychology Pllc | |
|
2201 Dottie Lynn Pkwy Ste 127 Fort Worth TX 76120-4435 | |
| (817) 313-7899 | |
| Not Available |
| Full Name | Luma Psychology Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2201 Dottie Lynn Pkwy Ste 127, Fort Worth, Texas |
| Authorized Official Name and Position | Theresa Kellam (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 8173137899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luma Psychology Pllc 2201 Dottie Lynn Pkwy Ste 127 Fort Worth TX 76120-4435 Ph: (817) 313-7899 | Luma Psychology Pllc 2201 Dottie Lynn Pkwy Ste 127 Fort Worth TX 76120-4435 Ph: (817) 313-7899 |
| NPI Number | 1306481205 |
|---|---|
| Provider Enumeration Date | 11/14/2019 |
| Last Update Date | 11/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306481205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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