| NPI | 1316315997 | 
|---|---|
| Doing Business As | LAKEWOOD WELLNESS PARTNERS | 
| Entity Type | Organization | 
| Authorized Contact | KATHERINE PANG Psychologist 214-531-7624  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36138)  | 
| Enumeration Date | 2015-09-12 | 
| Last Update Date | 2020-10-06 |