Individual
WILLIAM ALLEN WANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2439 SUNSET BLVD, HOUSTON, TX 77005-1431
(713) 729-0472
(713) 729-9927
Mailing address
5418 QUEENSLOCH DR, HOUSTON, TX 77086-4028
(713) 729-0472
(713) 729-9927
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
200218
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00RD95
—
TX
Enumeration date
09/21/2006
Last updated
07/08/2007
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