Individual
DR. MARIA NICOLE HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4140 PALMER PARK CIR E APT 104, NEW ALBANY, OH 43054-1176
(614) 598-5096
Mailing address
4140 PALMER PARK CIR E APT 104, NEW ALBANY, OH 43054-1176
(614) 598-5096
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SE065043
DRIVER'S LICENSE
OH
Enumeration date
10/28/2016
Last updated
10/28/2016
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