Individual
DR. DIANA MARIE ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
12012 WICKCHESTER LN, SUITE 550, HOUSTON, TX 77079-1229
(832) 448-2800
(832) 448-2867
Mailing address
12012 WICKCHESTER LN, SUITE 550, HOUSTON, TX 77079-1229
(832) 448-2800
(832) 448-2867
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32117
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74AE
RAILROAD
TX
05
—
74AE
—
TX
Enumeration date
05/29/2007
Last updated
07/08/2007
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