Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 23076 | TX |
N | 103T00000X | Psychologist | 23076 | TX |
Y | 102L00000X | Psychologist | 2495 | TX |
Y | 103T00000X | Psychologist | 2495 | TX |
N | 102L00000X | Psychologist | 6697 | TX |
N | 103T00000X | Psychologist | 6697 | TX |
NPI | 1003924184 |
---|---|
Provider Name | Mrs. Lynn Ellen Hungerford |
First Address | Houston, TX 77289 |
Second Address | Friendswood, TX 77546-2670 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2006 |
Last Update Date | 29/11/2011 |