| Modern Psychological & Allied Services, Pllc | |
|
6201 Bonhomme Rd Ste 178n Houston TX 77036 | |
| (281) 771-2685 | |
| Not Available |
| Full Name | Modern Psychological & Allied Services, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6201 Bonhomme Rd Ste 178n, Houston, Texas |
| Authorized Official Name and Position | Devon J Superville (PRESIDENT) |
| Authorized Official Contact | 9406326844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Psychological & Allied Services, Pllc 3 Sugar Creek Center Blvd Ste 100 Sugar Land TX 77478-2211 Ph: (281) 771-2685 | Modern Psychological & Allied Services, Pllc 6201 Bonhomme Rd Ste 178n Houston TX 77036 Ph: (281) 771-2685 |
| NPI Number | 1811341902 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 07/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811341902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 33636 (Texas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 33636 (Texas) | Primary |
| 251S00000X | Community/behavioral Health | 33636 (Texas) | Secondary |
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