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:
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Health care specialties

SpecialtyCodeLicense #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 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952309395 NPPES
Texas MEDICAID 00334369-01
Texas MEDICAID 0334379-01

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