Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 34510 | TX |
Y | 103TC0700X | Clinical Psychologist | 34510 | TX |
N | 102L00000X | Psychologist | 34510 | TX |
N | 103T00000X | Psychologist | 34510 | TX |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 34510 | TX |
N | 103G00000X | Clinical Psychologist | 34510 | TX |
N | 103TC0700X | Clinical Psychologist | 34510 | TX |
N | 103TH0004X | Health Psychologist | 34510 | TX |
N | 103TR0400X | Rehabilitation Psychologist | 34510 | TX |
NPI | 1144669599 |
---|---|
Provider Name | Dr. Marie Dahdah |
First Address | Frisco, TX 75033-2554 |
Second Address | Frisco, TX 75033-2554 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2013 |
Last Update Date | 11/06/2020 |