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Individual

ROLF WALLACE GORDHAMER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
12012 WICKCHESTER LN, SUITE 550, HOUSTON, TX 77079-1229
(832) 448-2800
(832) 448-2801
Mailing address
12012 WICKCHESTER LN, SUITE 550, HOUSTON, TX 77079-1229
(832) 448-2800
(832) 448-2801

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21828
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8D1104
BCBS
TX
01
P00197542
RAILROAD
TX
Enumeration date
06/18/2006
Last updated
04/05/2026
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