Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 32986 | TX |
NPI | 1104029149 |
---|---|
Provider Name | Ms. Kelly K Espinosa |
First Address | Houston, TX 77062-4765 |
Second Address | Dickinson, TX 77539-2026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 08/07/2007 |