Individual
DR. PETER C COUSINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3000 RICHMOND AVE, SUITE 425, HOUSTON, TX 77098-3188
(713) 523-5778
(713) 456-2538
Mailing address
3701 KIRBY DR, SUITE 596, HOUSTON, TX 77098-3900
(713) 523-5778
(713) 456-2538
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23052
TX
103TC0700X
Clinical Psychologist
23052
TX
103TC2200X
Clinical Child & Adolescent Psychologist
23052
TX
103TF0000X
Family Psychologist
23052
TX
103TF0200X
Forensic Psychologist
23052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034174501
—
TX
Enumeration date
08/31/2006
Last updated
04/21/2015
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