| The Houston Psychological Source, Pllc | |
|
1770 Saint James Pl Ste 206 Houston TX 77056-3432 | |
| (346) 666-6605 | |
| (832) 520-2880 |
| Full Name | The Houston Psychological Source, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1770 Saint James Pl Ste 206, Houston, Texas |
| Authorized Official Name and Position | Cashuna Huddleston (PSYCHOLOGIST/CO-OWNER) |
| Authorized Official Contact | 7132613549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Houston Psychological Source, Pllc 1770 Saint James Pl Ste 206 Houston TX 77056-3432 Ph: (713) 261-3549 | The Houston Psychological Source, Pllc 1770 Saint James Pl Ste 206 Houston TX 77056-3432 Ph: (346) 666-6605 |
| NPI Number | 1396406310 |
|---|---|
| Provider Enumeration Date | 01/02/2022 |
| Last Update Date | 01/02/2022 |
| Certification Date | 01/02/2022 |
| Medicare PECOS PAC ID | 7012378052 |
|---|---|
| Medicare Enrollment ID | O20230807002465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396406310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bianca J Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750762852 PECOS PAC ID: 6507133394 Enrollment ID: I20170526001501 |
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