Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 80443 | TX |
NPI | 1104441609 |
---|---|
Provider Name | Claudia Patricia De La Torre |
First Address | Mcallen, TX 78503-7319 |
Second Address | Mcallen, TX 78503-7319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2020 |
Last Update Date | 10/06/2020 |