Larery-Dvali Psychological Services Pc

Specialty details in registry · Stafford, TX

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At a glance

12603 Southwest Fwy Ste 626, Stafford, TX 77477-3838

NPPES record updated Feb 4, 2026. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

12603 Southwest Fwy Ste 626
Stafford, TX 77477-3838
Professional details: NPI, taxonomy & registry record
NPI1730568817
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
103G00000X
Enumeration date
May 22, 2015
Record updated
Feb 4, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103G00000X · Primary

License reported: 34051 TX

Specialty details in registry

103TC0700X

License reported: 34051 TX

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

12603 Southwest Fwy Ste 626
Stafford, TX 77477-3838
Phone
(713) 900-5557
Fax
(713) 489-2030
Mailing address
12603 SOUTHWEST FWY STE 626

STAFFORD, TX 774773838
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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