Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 227611 | TX |
Y | 103T00000X | Psychologist | 227611 | TX |
NPI | 1013944057 |
---|---|
Provider Name | Dr. Lynn Aikin Price |
First Address | Dallas, TX 75230-6573 |
Second Address | Dallas, TX 75230-6573 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 08/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
033607501 | (05) | TX |
UR57777 | (02) | TX |