Individual
JO ANN FORMBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
11999 KATY FWY, SUITE 490, HOUSTON, TX 77079-1611
(713) 365-0700
(713) 827-1080
Mailing address
11999 KATY FWY, SUITE 490, HOUSTON, TX 77079-1611
(713) 365-0700
(713) 827-1080
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
15634
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87140A
BCBS OF TX
TX
Enumeration date
07/21/2006
Last updated
02/21/2012
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