Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 63867 | TX |
N | 101YM0800X | Mental Health Counselor | 63867 | TX |
Y | 101YP2500X | Professional Counselor | 63867 | TX |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 63867 | TX |
N | 103TR0400X | Rehabilitation Psychologist | 63867 | TX |
NPI | 1619287679 |
---|---|
Provider Name | Mr. William Stephen Devine |
First Address | Houston, TX 77006 |
Second Address | Houston, TX 77006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2010 |
Last Update Date | 30/03/2012 |