Individual
DR. KATELYNN ANNE BOURASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6550 FANNIN ST STE 2509, HOUSTON, TX 77030-2777
(713) 206-8498
Mailing address
719 E 23RD ST, HOUSTON, TX 77008-2632
(218) 390-1300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38231
TX
Other
Enumeration date
07/24/2019
Last updated
06/24/2022
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