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1104314533
KELLY NICOLE BANNEYER
HOUSTON, TX
NPI
1104314533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: TX 37690)
Enumeration Date
2018-05-01
Last Update Date
2018-05-01
Business Address
Dr. KELLY NICOLE BANNEYER PhD
6701 FANNIN ST STE 1630
HOUSTON, TX 77030-2615
Phone number: 832-822-3700
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Mailing Address
Dr. KELLY NICOLE BANNEYER PhD
6701 FANNIN ST STE 1630
HOUSTON, TX 77030-2615
Phone number: 832-822-3700
Copy
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