Provider Demographics
NPI:1235256405
Name:SHUEY, VERNELL D (MED LPC)
Entity Type:Individual
Prefix:MRS
First Name:VERNELL
Middle Name:D
Last Name:SHUEY
Suffix:
Gender:F
Credentials:MED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13101 PRESTON RD
Mailing Address - Street 2:#504
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240
Mailing Address - Country:US
Mailing Address - Phone:972-726-8833
Mailing Address - Fax:469-791-9011
Practice Address - Street 1:13101 PRESTON RD
Practice Address - Street 2:#504
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240
Practice Address - Country:US
Practice Address - Phone:972-726-8833
Practice Address - Fax:469-791-9011
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10555101YM0800X
TX1339106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXLPCOtherTX DEPT OF HEALTH
TXLMFTOtherTX DEPT OF HEALTH