| NPI | 1548486913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ALLISON CHARLESWORTH Clinical Director 281-890-8575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 2-2200) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 12110) |
| 101YM0800X Counselor, Mental Health (Licence: TX 12110) | |
| 103G00000X Clinical Neuropsychologist (Licence: TX 2-2200) | |
| 103T00000X Psychologist (Licence: TX 2-2200) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 2-2200) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 2-2200) | |
| 103TE1100X Psychologist, Exercise & Sports (Licence: TX 2-2200) | |
| 103TF0000X Psychologist, Family (Licence: TX 2-2200) | |
| 103TF0200X Psychologist, Forensic (Licence: TX 2-2200) | |
| 103TH0004X Psychologist, Health (Licence: TX 2-2200) | |
| 103TH0100X Psychologist, Health Service (Licence: TX 2-2200) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 2-2200) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: TX 2-2200) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-04-17 |