Individual
MELINDA JAMISON LEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4815 PRESTON TRAILS LN, PASADENA, TX 77505-3885
(281) 488-0615
(281) 488-1390
Mailing address
957 NASA PKWY # 511, HOUSTON, TX 77058-3039
(281) 488-0615
(281) 488-1390
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
24617
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096972702
—
TX
Enumeration date
09/11/2006
Last updated
10/27/2022
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