Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 24969 | TX |
N | 103TA0700X | Adult Development & Aging Psychologist | 24969 | TX |
N | 103TF0000X | Family Psychologist | 24969 | TX |
N | 103TP2701X | Group Psychotherapist | 24969 | TX |
NPI | 1568473817 |
---|---|
Provider Name | Herb Ames |
First Address | Houston, TX 77030-4211 |
Second Address | Houston, TX 77030-4211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 08/07/2007 |