Individual
STEPHEN L LOUGHHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4747 BELLAIRE BLVD, SUITE 570, BELLAIRE, TX 77401-4527
(713) 795-4580
(713) 795-4583
Mailing address
4747 BELLAIRE BLVD, SUITE 570, BELLAIRE, TX 77401-4527
(713) 795-4580
(713) 795-4583
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25354
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019648-03
—
TX
01
—
S17F
BC/BS
TX
Enumeration date
06/30/2006
Last updated
02/19/2010
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