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Individual

MICHAEL D GROAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
12301 MAIN ST, PROFESSIONALS IN CRISIS PROGRAM, HOUSTON, TX 77030-5502
(713) 275-5223
(713) 275-5017
Mailing address
12301 MAIN STREET, PROFESSIONALS IN CRISIS PROGRAM, HOUSTON, TX 77030-2503
(713) 275-5223
(713) 275-5240

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34042
TX

Other

Enumeration date
05/03/2007
Last updated
07/26/2012
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