MEDICARE: CLARISSA IVETTE KUHNS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist	34174	TX
2	103T00000X	Psychologist	34547	TX

General Provider Information

NPI Number	:	1386961746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARISSA IVETTE KUHNS

Provider Business Mailing Address
First Line	:	3703 JOSEFINA
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78041-1957
Country	:	US
Telephone Number	:	956-645-3643
Fax Number	:	956-568-4008

Provider Business Practice Location Address
First Line	:	7019 W VILLAGE BLVD STE 201
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78041-2297
Country	:	US
Telephone Number	:	956-645-3643
Fax Number	:	956-568-4008

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2010
Last Update Date	:	04/27/2026

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