Individual
KIMBERLY ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7000 FANNIN ST STE 1910, HOUSTON, TX 77030-5400
(713) 500-8300
Mailing address
7000 FANNIN ST STE 1910, HOUSTON, TX 77030-5400
(713) 500-8300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
40308
TX
Other
Enumeration date
08/05/2024
Last updated
09/10/2024
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