Healthcare Provider Details

I. General information

NPI: 1386961746
Provider Name (Legal Business Name): CLARISSA IVETTE KUHNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CLARISSA IVETTE GARCIA PH.D.

II. Dates (important events)

Enumeration Date: 04/26/2010
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7019 W VILLAGE BLVD STE 201
LAREDO TX
78041-2297
US

IV. Provider business mailing address

3703 JOSEFINA
LAREDO TX
78041-1957
US

V. Phone/Fax

Practice location:
  • Phone: 956-645-3643
  • Fax: 956-568-4008
Mailing address:
  • Phone: 956-645-3643
  • Fax: 956-568-4008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number34174
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number34547
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: