Individual
DEBORAH E THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4314 YOAKUM BLVD, HOUSTON, TX 77006-5818
(713) 850-0049
(713) 627-7302
Mailing address
4314 YOAKUM BLVD, HOUSTON, TX 77006-5818
(713) 850-0049
(713) 627-7302
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25778
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025775701
—
TX
05
—
102775702
—
TX
05
—
102775704
—
TX
05
—
102775705
—
TX
05
—
102775706
—
TX
05
—
102775707
—
TX
05
—
102775708
—
TX
05
—
102775709
—
TX
05
—
102775710
—
TX
05
—
102775711
—
TX
05
—
102775712
—
TX
01
—
88186A
BCBS TX HOUSTON
TX
01
—
88336A
BCBS TX
TX
01
—
P00961151
RR MCR
TX
01
—
P00997619
RR MCR
TX
01
—
P01010614
RR MCR
TX
01
—
P01011570
RR MCR
TX
Enumeration date
07/26/2006
Last updated
08/29/2012
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