Provider Information for 1861949281
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HILDA STATZ PsyD, LPC-S
Sex: Female
NPI: 1861949281
Last Updated: 2023-08-16
Certification Date: 2023-08-14
Certification Date: 2023-08-14
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1861949281 | ||||||||
| Enumeration Date | 2016-09-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 106 CANYON CREEK CANYON LAKE, TX 78133-4170 United States Phone: 915-422-3664 | Fax:830-688-4900 | ||||||||
| Primary Practice Address | 106 CANYON CRK CANYON LAKE, TX 78133-4170 United States Phone: 915-422-3664 | Fax:830-688-4900 | ||||||||
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