Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 39008 | TX |
Y | 103T00000X | Psychologist | 39008 | TX |
NPI | 1003461013 |
---|---|
Provider Name | Rebecca Girlinghouse |
First Address | Allen, TX 75013-8043 |
Second Address | Southlake, TX 76092-7031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2019 |
Last Update Date | 22/12/2021 |