| Clear Lake Children's Center | |
|
17100 Glenmount Park Dr Ste C Webster TX 77598-4368 | |
| (281) 407-5658 | |
| (281) 407-5631 |
| Full Name | Clear Lake Children's Center |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 17100 Glenmount Park Dr Ste C, Webster, Texas |
| Authorized Official Name and Position | Becky Siekierski (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2814075658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Lake Children's Center 17100 Glenmount Park Dr Ste C Webster TX 77598-4368 Ph: (281) 407-5658 | Clear Lake Children's Center 17100 Glenmount Park Dr Ste C Webster TX 77598-4368 Ph: (281) 407-5658 |
| NPI Number | 1578969655 |
|---|---|
| Provider Enumeration Date | 11/17/2014 |
| Last Update Date | 07/02/2021 |
| Certification Date | 07/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578969655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 33696 (Texas) | Primary |
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