Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 37992 | TX |
Y | 103TC0700X | Clinical Psychologist | 37992 | TX |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 37992 | TX |
NPI | 1134696826 |
---|---|
Provider Name | Dr. Adriane De Freitas Barroso |
First Address | Houston, TX 77063-6500 |
Second Address | Houston, TX 77063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2018 |
Last Update Date | 06/05/2019 |