Provider Information for 1366983207
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Ms. TRACI LEANN MUNDEN LCSW
Sex: Female
NPI: 1366983207
Last Updated: 2020-12-28
Certification Date: 2020-12-28
Certification Date: 2020-12-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1366983207 | ||||||||
| Enumeration Date | 2017-03-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1265 BEDFORD LN LEWISVILLE, TX 75077-3732 United States Phone: 972-746-0440 | Fax: | ||||||||
| Primary Practice Address | 5680 FRISCO SQUARE BLVD FRISCO, TX 75034-3300 United States Phone: 469-535-8001 | Fax: | ||||||||
| Secondary Practice Address(es) | 1265 BEDFORD LN | ||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|