Loanne E. Chiu, PH.D.
Individual provider Active NPI Clinical Psychologist · Benbrook, TX
NPI 1598855801 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1598855801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2-2079 (TX)
- Practice address
- 6320 Southwest Blvd
Crosslands Plaza Suite 113
Benbrook, TX 76109-6965 - Phone
- (817) 335-5300
- Fax
- (817) 735-1574
- NPI assigned
- Oct 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2-2079 | TX | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2-2079 | TX | Yes |
Addresses
Primary practice location
6320 Southwest Blvd
Crosslands Plaza Suite 113
Benbrook, TX 76109-6965
Mailing address
6320 Southwest Blvd
Crosslands Plaza Suite 113
Fort Worth, TX 76109
Phone (817) 335-5300
Other providers in Benbrook, TX
- Jessica Cepak
- James Marcour Charbonnet III
- Debra Charles
- Emily Morgan Cheney
- Chisholm Trail Dental
- Citlali Cisneros
- City of Benbrook
- John Randolph Clark
- Patricia Clark
- Clear Anesthetic Solutions, PLLC
All providers in Benbrook, TX · Clinical Psychologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.