Provider Demographics
NPI:1518358472
Name:DFW ASSESSMENT, PLLC
Entity Type:Organization
Organization Name:DFW ASSESSMENT, PLLC
Other - Org Name:DFW ASSESSMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LP, LSSP
Authorized Official - Phone:724-992-0599
Mailing Address - Street 1:2012 DEVIN LN
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-8965
Mailing Address - Country:US
Mailing Address - Phone:724-992-0599
Mailing Address - Fax:
Practice Address - Street 1:2012 DEVIN LN
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-8965
Practice Address - Country:US
Practice Address - Phone:724-992-0599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-13
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36682251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health