Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 23241 | TX |
Y | 103T00000X | Psychologist | 23241 | TX |
N | 103TC1900X | Counseling Psychologist | 22341 | TX |
NPI | 1104834175 |
---|---|
Provider Name | Dr. Ranee Beaty Gumm |
First Address | Hurst, TX 76054-3751 |
Second Address | Hurst, TX 76054-7016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 07/05/2020 |