Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 58958 | TX |
N | 103TM1800X | Intellectual & Developmental Disabilities | 32034 | TX |
N | 103TS0200X | School Psychologist | 32034 | TX |
NPI | 1043470263 |
---|---|
Provider Name | Dr. Lindamay Vierra |
First Address | Mercedes, TX 78570-2745 |
Second Address | Mercedes, TX 78570-2745 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 12/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
104370263 | (05) | TX |