Lacerda, David Anthony
Lacerda, David Anthony is an sole proprietor health care provider with primary practice located at 1115 Pennsylvania Ave Ste B , Fort Worth TX 76104-2153. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Lacerda, David Anthony can be contacted via phone (817) 332-7920.Contact Information
Primary practice address
1115 Pennsylvania Ave Ste B
Fort Worth TX 76104-2153
Phone: (817) 332-7920
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | TSBEP2-0810 | Texas |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | TSBEP2-0810 | Texas |
Behavioral Health & Social Service Providers / Family | 103TF0000X | TSBEP2-0810 | Texas |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | TSBEP2-0810 | Texas |
Profile Details
NPI number | 1740333871 |
---|---|
LBN Legal business name | Lacerda, David Anthony |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 20th, 2007 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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