Individual
CODY CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1333 MOURSUND ST, HOUSTON, TX 77030-3405
(713) 797-7761
(713) 799-7049
Mailing address
1333 MOURSUND ST, HOUSTON, TX 77030-3405
(713) 797-7761
(713) 799-7049
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30610026
—
KY
Enumeration date
01/16/2009
Last updated
02/10/2016
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