Individual
ANGELIQUE TRASK-TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LSSP
Contact information
Practice address
9700 BISSONNET ST STE 1000W, HOUSTON, TX 77036-8001
(504) 236-8096
Mailing address
9700 BISSONNET ST STE 1000W, HOUSTON, TX 77036-8001
(504) 236-8096
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36431
TX
103TS0200X
School Psychologist
36431
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NOT APPLICABLE
NONE
TX
Enumeration date
09/08/2014
Last updated
05/23/2024
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