Lutes, Candida Jane
Lutes, Candida Jane is an sole proprietor health care provider with primary practice located at 3500 Oak Lawn Ave. Suite 275, Dallas TX 75219-4308. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Lutes, Candida Jane can be contacted via phone (214) 522-0498.Contact Information
Primary practice address
3500 Oak Lawn Ave. Suite 275
Dallas TX 75219-4308
Phone: (214) 522-0498
Fax: (214) 522-0454
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 21711 | Texas |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 21711 | Texas |
Profile Details
NPI number | 1952309395 |
---|---|
LBN Legal business name | Lutes, Candida Jane |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 11th, 2005 |
Last updated | Mar 16th, 2011 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952309395 | NPPES |
Texas | MEDICAID | 00334369-01 | |
Texas | MEDICAID | 0334379-01 |
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