Individual
MADISON GBAFUWEL BEOHTWEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MENTAL HEALTH TECH
Contact information
Practice address
8315 BALLINA RIDGE CT, HOUSTON, TX 77083-6399
(402) 318-2805
Mailing address
8315 BALLINA RIDGE CT, HOUSTON, TX 77083-6399
(402) 318-2805
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
804328481
TX
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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