is a Clinical Neuropsychologist in Sugar Land, Texas. practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for is 1356392914. The last update date is .
's current location address is 20403 University Blvd, Sugar Land, Texas. You can contact this provider via phone number 2812651776 and fax number 2812851805. The mailing address for is 20403 University Blvd, Sugar Land, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 20403 University Blvd, Sugar Land, Texas |
| Phone Number | 2812651776 |
| Fax Number | 2812851805 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1356392914 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 20403 University Blvd |
|---|---|
| City | Sugar Land |
| State | Texas (TX) |
| Post Code | 7747849760 |
| Phone Number | 2812651776 |
| Fax Number | 2812851805 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 2-0873 |
|
Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10017080 | TX | AMERIGROUP | |
| 4413144 | TX | AETNA | |
| 94043 | TX | TEXAN PLUS | |
| 99523502 | TX | -- | |
| UZ081264P | BCBS OUT OF STATE | ||
| 81264P | TX | BLUE CROSS BLUE SHIELD | |
| 860000056 | TX | RAILROAD MEDICARE |
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