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Individual

DR. TERESA LEAH TARVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
11811 FM 1960 RD W, SUITE 130, HOUSTON, TX 77065-3827
(281) 943-9250
(281) 894-0101
Mailing address
15201 MASON RD STE 1000, PMB 133, CYPRESS, TX 77433-5977

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33770
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33770
PSYD
TX
Enumeration date
12/03/2008
Last updated
07/11/2012
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