Individual
SAM MARULLO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
16821 BUCCANEER LN STE 240, HOUSTON, TX 77058-2542
(281) 488-0615
(281) 488-1390
Mailing address
16821 BUCCANEER LN STE 240, HOUSTON, TX 77058-2542
(281) 488-0615
(281) 488-1390
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22392
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100260201
—
TX
Enumeration date
09/11/2006
Last updated
06/04/2021
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