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NPI Code Detail

MEDICARE: SONIA CARRIZALES PHD

MEDICARE: SONIA CARRIZALES PHD
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
1103T00000XPsychologist
2101YP2500XProfessional Counselor71103TX
3103TC1900XCounseling Psychologist
4103TC0700XClinical Psychologist38410TX

General Provider Information

NPI Number : 1497186555
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONIA CARRIZALES PHD
Provider Business Mailing Address
First Line : 6060 N CENTRAL EXPY STE 500
Second Line :
City : DALLAS
State : TX
Zip : 75206-5249
Country : US
Telephone Number : 972-215-6605
Fax Number :
Provider Business Practice Location Address
First Line : 6060 N CENTRAL EXPY STE 500
Second Line :
City : DALLAS
State : TX
Zip : 75206-5249
Country : US
Telephone Number : 972-215-6605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2013
Last Update Date : 01/05/2021

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Directions to “ SONIA CARRIZALES PHD” Practice Location

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