| Willowbrook Psychological Associates, Pc | |
|
10609 Grant Rd Building B Houston TX 77070 | |
| (281) 469-6395 | |
| Not Available |
| Full Name | Willowbrook Psychological Associates, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 10609 Grant Rd, Houston, Texas |
| Authorized Official Name and Position | Edward Allison Charlesworth (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2818908575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willowbrook Psychological Associates, Pc 11407 Hylander Dr Houston TX 77070-1339 Ph: (281) 469-6395 | Willowbrook Psychological Associates, Pc 10609 Grant Rd Building B Houston TX 77070 Ph: (281) 469-6395 |
| NPI Number | 1548486913 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 04/17/2014 |
| Medicare PECOS PAC ID | 0749402105 |
|---|---|
| Medicare Enrollment ID | O20141119001832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548486913 | NPI | - | NPPES |
| Provider Name | Edward A Charlesworth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114142585 PECOS PAC ID: 2769604115 Enrollment ID: I20141119001731 |
| Provider Name | Diane C Schaefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770993024 PECOS PAC ID: 4082643689 Enrollment ID: I20160920002567 |
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