Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 23372 | TX |
NPI | 1124245881 |
---|---|
Provider Name | Patricia Perrin Hull |
First Address | Bellaire, TX 77401-2900 |
Second Address | Bellaire, TX 77401-2900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2007 |
Last Update Date | 28/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
065593 | VALUE OPTIONS (01) | TX |