Healther Providers Data Logo

45D2117217 CLIA NUMBER - LAKEWOOD DERMATOLOGY

Laboratory Demographics

CLIA Number: 45D2117217

Facility Name: LAKEWOOD DERMATOLOGY

Facility Address:
6162 E MOCKINGBIRD LANE, SUITE 120
DALLAS, TX
ZIP 75214
Get Directions

Facility Phone Number: 732 996-7276

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1316315997

Taxonomy: 103T00000X - Psychologist
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

CLIA Record

Field Name Field Value
CLIA Number 45D2117217
LAB Type Physician Office
Facility Name LAKEWOOD DERMATOLOGY
Street 6162 E MOCKINGBIRD LANE, SUITE 120
City DALLAS
State TX
ZIP 75214
Phone 732 996-7276
CertificateType 3
CertificateEffectiveDate 8/11/2022
CertificateExpirationDate 8/10/2024
FacilityType PPMP

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024