Organization
MODERN THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRIZ CRAVEN (OWNER)
(281) 783-9297
Entity
Organization
Contact information
Practice address
900 LOVETT BLVD, HOUSTON, TX 77006-3908
(281) 783-9297
Mailing address
PO BOX 30244, HOUSTON, TX 77249-0244
(281) 783-9297
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36766
TX
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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