Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 3-1560 | TX |
NPI | 1053337725 |
---|---|
Provider Name | Roxanne Schreiber |
First Address | Houston, TX 77036-3055 |
Second Address | Houston, TX 77079-4044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 08/07/2007 |