Jo Ann Formby is a Clinical in Houston, Texas. Jo Ann Formby practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jo Ann Formby is 1154342855. The last update date is 2012-02-21.
Jo Ann Formby's current location address is 11999 Katy Fwy, Houston, Texas. You can contact this provider via phone number 7133650700 and fax number 7138271080. The mailing address for Jo Ann Formby is 11999 Katy Fwy, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jo Ann Formby |
|---|---|
| Address | 11999 Katy Fwy, Houston, Texas |
| Phone Number | 7133650700 |
| Fax Number | 7138271080 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1154342855 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2012-02-21 |
Provider Mailing Address Detail
| Address | 11999 Katy Fwy |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770791611 |
| Phone Number | 7133650700 |
| Fax Number | 7138271080 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 15634 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 87140A | TX | BCBS OF TX |
Post Comment/ Review Below
What is the unique identifier code issued to Jo Ann Formby by the Centers for Medicare & Medicaid Services?
The Jo Ann Formby has been assigned the NPI (National Provider Identifier) 1154342855. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jo Ann Formby?
The Jo Ann Formby is physically situated at 11999 Katy Fwy, in the city of Houston, state of TX, with the postal code 770791611.
What is Jo Ann Formby's area of expertise and its corresponding taxonomy classification?
The Jo Ann Formby's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jo Ann Formby receive the assignment of its 1154342855 from the Centers for Medicare & Medicaid Services?
The Jo Ann Formby was issued its 1154342855 by the Centers for Medicare & Medicaid Services on 2006-07-21.
As of what date were the details related to Jo Ann Formby most recently updated or revised?
The information pertaining to Jo Ann Formby, including its address, specialty, and other relevant details, was last updated or revised on 2012-02-21.