Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 30728 | TX |
Y | 103TC0700X | Clinical Psychologist | 30728 | TX |
N | 103TS0200X | School Psychologist | 30834 | TX |
NPI | 1073635322 |
---|---|
Provider Name | Dr. Maria Elena Feroleto |
First Address | Houston, TX 77098-2659 |
Second Address | Houston, TX 77019-4322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 09/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040537504 | (05) | TX |
10009201 | AMERIGROUP PROVIDER # (01) | TX |
330142 | UBH PROVIDER # (01) | TX |
FEROL-0001 | COMPCARE PROVIDER # (01) | TX |