Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 15269 | TX |
N | 103TA0700X | Adult Development & Aging Psychologist | 15269 | TX |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 15269 | TX |
N | 103G00000X | Clinical Psychologist | 15269 | TX |
N | 103TC0700X | Clinical Psychologist | 15269 | TX |
N | 103TC1900X | Counseling Psychologist | 15269 | TX |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 15269 | TX |
N | 103TH0100X | Health Service | 15269 | TX |
N | 103TR0400X | Rehabilitation Psychologist | 15269 | TX |
NPI | 1700860251 |
---|---|
Provider Name | George Lazar |
First Address | Houston, TX 77074-2003 |
Second Address | Houston, TX 77074-2003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2005 |
Last Update Date | 08/07/2007 |