Provider Demographics
NPI:1932933850
Name:RIOS CRUZ, BARBARA ALEJANDRA (PSYD)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ALEJANDRA
Last Name:RIOS CRUZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 S PEARL EXPY APT 129
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-6124
Mailing Address - Country:US
Mailing Address - Phone:939-640-0675
Mailing Address - Fax:
Practice Address - Street 1:1011 S PEARL EXPY APT 129
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-6124
Practice Address - Country:US
Practice Address - Phone:939-640-0675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39592103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical