Srividhya Subramanian
Social Worker, Clinical in Coppell, TX. Individual provider (NPI-1).
NPI number1487157228
StatusActive
Last updated in NPPESMay 11, 2023
Details
- NPI
- 1487157228
- Entity type
- Individual (NPI-1)
- Name
- Srividhya Subramanian
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2018
- Certification date
- May 11, 2023
- Last updated
- May 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 69346 | TX | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
3225 Scotch Creek Rd Unit 207Coppell, TX 75019-5097
Phone 214-620-0799
Mailing address
3225 Scotch Creek Rd Unit 207Coppell, TX 75019-5097
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