Individual
MR. JIMMIE C. WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
1125 CYPRESS STATION DR, BUILDING B-1, HOUSTON, TX 77090-3054
(281) 537-7207
(281) 580-5061
Mailing address
1125 CYPRESS STATION DR, BUILDING B-1, HOUSTON, TX 77090-3054
(281) 537-7207
(281) 580-5061
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
TX2-1974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115635801
—
TX
Enumeration date
12/14/2006
Last updated
03/31/2009
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