Individual
JOSEPH S. BAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10006 BRIAR ROSE DRIVE, HOUSTON, TX 77042-2422
(713) 974-1985
(713) 975-7218
Mailing address
10006 BRIAR ROSE DRIVE, HOUSTON, TX 77042-2422
(713) 974-1985
(713) 975-7218
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22095
TX
103TC0700X
Clinical Psychologist
22095
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00H56R
BLUE CROSS BLUE SHIELD
TX
01
—
013083
VALUE OPTIONS
TX
01
—
10771085
CAQH
TX
01
—
130128
MHN
TX
Enumeration date
03/04/2007
Last updated
12/09/2025
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