MEDICARE: LISA N HOUGHTELING PH.D.

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	103TC0700X	Clinical Psychologist	33985	TX

General Provider Information

NPI Number	:	1093950511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA N HOUGHTELING PH.D.

Provider Business Mailing Address
First Line	:	420 N CARROLL AVE STE 140
Second Line	:
City	:	SOUTHLAKE
State	:	TX
Zip	:	76092-6454
Country	:	US
Telephone Number	:	817-421-5555
Fax Number	:	817-421-5551

Provider Business Practice Location Address
First Line	:	420 N CARROLL AVE STE 140
Second Line	:
City	:	SOUTHLAKE
State	:	TX
Zip	:	76092-6454
Country	:	US
Telephone Number	:	817-421-5555
Fax Number	:	817-421-5551

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

Provider Enumeration Date	:	12/12/2008
Last Update Date	:	09/26/2025

Similar Medicare Providers

1235636671 — JORGE CORONA MD
Practice Location Address:

420 N CARROLL AVE STE 150
SOUTHLAKE, TX
76092-6454

Practice Phone: 210-941-2258
Practice Fax:

1063013928 — DANA LEWIN COUNSELING, PLLC
Practice Location Address:

420 N CARROLL AVE STE 140
SOUTHLAKE, TX
76092-6454

Practice Phone: 817-797-7968
Practice Fax:

1972378552 — EUNOIA PSYCHIATRY ASSOCIATES,PA
Practice Location Address:

420 N CARROLL AVE STE 140
SOUTHLAKE, TX
76092-6454

Practice Phone: 817-702-3100
Practice Fax:

1083501951 — FUQUA PSYCHIATRIC CONSULTING PLLC
Practice Location Address:

420 N CARROLL AVE STE 150
SOUTHLAKE, TX
76092-6454

Practice Phone: 210-201-3316
Practice Fax:

1316888647 — VENTANA MENTAL HEALTH DALLAS PLLC
Practice Location Address:

420 N CARROLL AVE STE 150
SOUTHLAKE, TX
76092-6454

Practice Phone: 817-646-7997
Practice Fax: 817-479-3954

1760496509 — SYED MM QUADRI MD
Practice Location Address:

431 E STATE HIGHWAY 114 STE 400
SOUTHLAKE, TX
76092-4414

Practice Phone: 817-527-8621
Practice Fax:

Directions to “ LISA N HOUGHTELING PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.