Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 36103 | TX |
Y | 103TC0700X | Clinical Psychologist | 36103 | TX |
NPI | 1013109123 |
---|---|
Provider Name | Dr. Candice A Alfano |
First Address | Houston, TX 77009-5308 |
Second Address | Houston, TX 77009-5308 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2007 |
Last Update Date | 19/01/2019 |