Individual
SEAN M PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
118 VINTAGE PARK BLVD, STE W, HOUSTON, TX 77070-4096
(713) 592-9098
Mailing address
118 VINTAGE PARK BLVD, STE W, HOUSTON, TX 77070-4096
(281) 702-5142
(832) 603-4403
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31991
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157757901
TMPH
TX
Enumeration date
06/08/2007
Last updated
09/13/2016
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