Provider Demographics
NPI:1811466774
Name:LAZALDE, ALEJANDRA LAIDALE (MSPSY, LPC)
Entity type:Individual
Prefix:MISS
First Name:ALEJANDRA
Middle Name:LAIDALE
Last Name:LAZALDE
Suffix:
Gender:F
Credentials:MSPSY, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 N BISHOP AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-4340
Mailing Address - Country:US
Mailing Address - Phone:214-216-6208
Mailing Address - Fax:
Practice Address - Street 1:729 N BISHOP AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4340
Practice Address - Country:US
Practice Address - Phone:214-216-6208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-20
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83556101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional