Individual
DR. KENNETH R WALDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8303 SW FWY STE 330, HOUSTON, TX 77074-1601
(713) 774-2122
(713) 774-3223
Mailing address
1428 CRYSTAL LAKE CIR E, PEARLAND, TX 77584-2567
(713) 670-6626
(713) 774-3223
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2-1460 TX
TX
106H00000X
Marriage & Family Therapist
331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
742043057
EMPLOYER ID
TX
Enumeration date
08/19/2006
Last updated
08/12/2010
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