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Individual

DR. MARIA ELENA FEROLETO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1501 CROCKER ST STE 1, HOUSTON, TX 77019-4322
(713) 630-0701
(713) 529-2648
Mailing address
1836 SUL ROSS ST APT 3, HOUSTON, TX 77098-2659
(713) 557-9709
(713) 529-2648

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30728
TX
103TS0200X
School Psychologist
30834
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
040537504
TX
01
10009201
AMERIGROUP PROVIDER #
TX
01
330142
UBH PROVIDER #
TX
01
FEROL-0001
COMPCARE PROVIDER #
TX
Enumeration date
04/06/2007
Last updated
12/09/2016
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