Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 38017 | TX |
Y | 103TC0700X | Clinical Psychologist | 38017 | TX |
NPI | 1003468752 |
---|---|
Provider Name | Dr. Hannah Lane Combs |
First Address | Sugar Land, TX 77479-3545 |
Second Address | Sugar Land, TX 77479-3545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2019 |
Last Update Date | 12/07/2019 |